Individual provider Active NPI

Carmen C Capella, PSYD

  • Clinical Psychologist
  • Kissimmee, FL
National Provider Identifier
1013088681
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10124 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110509000674 PR Practitioner - Clinical Psychologist 8628254653 Practice locations: Isabela, PR
I20180821001396 FL Practitioner - Clinical Psychologist 8628254653 Reassigns benefits to 2 organizations

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
CPF SJN Outpatient LLCGroup PAC ID 0749637163, 24 clinicians

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

LicenseStateTypeSpecialty
1647PRMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
CPF SJN Outpatient, LLC Clinical CurrentSince Aug 8, 2025 Accepting new patients
Behavioral Mind Wellness: Evaluation, Prevention & Treatment Clinical CurrentSince Jun 3, 2020 Accepting new patients
Centro Psicoterapeutico Respira Clinical PastSince Apr 3, 2022 Accepting new patients
Compass Counseling Services,LLC PastSince Jan 12, 2020 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.

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

Verify at the official NPI Registry.