Active NPI
Cristina Muniz de la Pena, PH.D.
- Psychologist
- Bronx, NY
National Provider Identifier
1033458187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019883
- Practice address
- 890 Prospect Ave
Bronx, NY 10459-3978 - Phone
- (718) 991-0605
- Fax
- (347) 498-2751
- NPI assigned
- Feb 10, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019883 | NY | Primary |
Addresses
Primary practice location
890 Prospect Ave
Bronx, NY 10459-3978
Mailing address
890 Prospect Ave
Bronx, NY 10459-3978
Phone (718) 991-0605
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019883 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360454400000",
"number": "1033458187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 PROSPECT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104593978",
"telephone_number": "718-991-0605",
"fax_number": "347-498-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 PROSPECT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104593978",
"telephone_number": "718-991-0605",
"fax_number": "347-498-2751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNIZ DE LA PENA",
"first_name": "CRISTINA",
"name_prefix": "Miss",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-10",
"last_updated": "2013-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.