Active NPI
Carmen C Capella, PSYD
- Clinical Psychologist
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10124
- Practice address
- 700 W Oak St
Kissimmee, FL 34741-4924 - Phone
- (713) 789-7560
- Fax
- (713) 789-7351
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 6, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY10124 | FL | Primary |
| Clinical Psychologist | 103TC0700X | 1647 | PR |
Addresses
Primary practice location
700 W Oak St
Kissimmee, FL 34741-4924
Mailing address
2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone (713) 789-7560
Other practice location 1
201 Ruby Ave Ste A
Kissimmee, FL 34741-5698
Phone (407) 933-1847
Other practice location 2
9709 Sanctuary Square Dr Unit 209
Orlando, FL 32832-6627
Phone (787) 642-6832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 285-2771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1647 | PR | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPF SJN Outpatient, LLC | Clinical | Current | Accepting new patients |
| Behavioral Mind Wellness: Evaluation, Prevention & Treatment | Clinical | Current | Accepting new patients |
| Centro Psicoterapeutico Respira | Clinical | Past | Accepting new patients |
| Compass Counseling Services,LLC | Past | Accepting new patients |
Locations
415 W Vine St
Kissimmee, FL 34741
Phone (407) 270-4719
417 W Vine St
Kissimmee, FL 34741
Phone (321) 888-6965
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
2450 Fondren Rd
Ste 312
Houston, TX 77063
Phone (713) 914-0277
Networks
- FL HMO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL HMO D-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- Freedom Health HMO Network
- FL HMO C-SNP
Organizations & group practices 4
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.
-
- Clinical Psychologist
- Kissimmee, FL
- NPI 1902432339
-
dba Strive Rehabilitation Partners
- Clinical Psychologist
- Houston, TX
- NPI 1730830001
FL
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1790157626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1013088681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 FONDREN RD STE 312",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770632323",
"telephone_number": "713-789-7560",
"fax_number": "713-789-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414924",
"telephone_number": "713-789-7560",
"fax_number": "713-789-7351"
}
],
"practiceLocations": [
{
"address_1": "201 Ruby Ave Ste A",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347415698",
"country_code": "US",
"telephone_number": "407-933-1847",
"fax_number": "407-933-1849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9709 Sanctuary Square Dr Unit 209",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328326627",
"country_code": "US",
"telephone_number": "787-642-6832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPELLA",
"first_name": "CARMEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10124",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1647",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.