Lourdes Pola, PH D PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 005253 Issued in FL

Practice address

6450 W 21St CT
Suite 207
Hialeah, FL 33016-3946

Phone

(305) 826-9293

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adult & Children Psychological Services Inc

  • Psychologist
  • Hialeah, FL
  • NPI 1962730143
  Medicare reassignment NPD Authorized official
• Absolute Psychological Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Hialeah, FL
  • NPI 1629228028
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003832262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT",
            "address_2": "SUITE 207",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163946",
            "telephone_number": "305-826-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT",
            "address_2": "SUITE 207",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163946",
            "telephone_number": "305-826-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLA",
        "first_name": "LOURDES",
        "name_prefix": "Ms.",
        "credential": "PH D PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 005253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Plaza, AGNP-C
• Yael Karina Plaza
• Pleasure Medical Center Corp
• Raidelys Plouz
• Maria Teresa Pol-Carballo, M.D.
• Lauren Polanco Gomez
• Andres Polanco, MA
• Diliana Polanco, LCSW
• Oscar Polanco, BA
• Ilianna Polatos-Quintero, RN

• Psychologist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.