Active NPI
Elizabeth Carmen Penela, PH.D.
- Clinical Psychologist
- Pembroke Pines, FL
National Provider Identifier
1003299462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9177
- Practice address
- 15800 Pines Blvd Ste 340
Pembroke Pines, FL 33027-1212 - Phone
- (954) 577-2727
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9177 | FL | Primary |
Addresses
Primary practice location
15800 Pines Blvd Ste 340
Pembroke Pines, FL 33027-1212
Mailing address
15800 Pines Blvd Ste 340
Pembroke Pines, FL 33027-1212
Phone (954) 577-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9177 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1003299462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15800 PINES BLVD STE 340",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271212",
"telephone_number": "954-577-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 PINES BLVD STE 340",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271212",
"telephone_number": "954-577-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENELA",
"first_name": "ELIZABETH",
"middle_name": "CARMEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "9177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.