Blanca Palencia-Kerr, PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7261 Issued in FL

Legal business name

BLANCA PALENCIA-KERR, PH.D., P.A.

Doing business as

Neurobehavioral & Psychological Services

Practice address

10400 Griffin Rd
Suite 101
Davie, FL 33328-3337

Phone

(954) 709-2701

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Blanca Palencia-Kerr, PHD

Title

Director

Phone

(954) 709-2701

Specialties & licenses 1

Addresses

Other names 1

• Neurobehavioral & Psychological Services Doing business as

Locations

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1174810543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 GRIFFIN RD",
            "address_2": "SUITE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283337",
            "telephone_number": "954-709-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 GRIFFIN RD",
            "address_2": "SUITE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283337",
            "telephone_number": "954-709-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCA PALENCIA-KERR, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "PALENCIA-KERR",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-709-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurobehavioral & Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janie Katherine Blake, SOCIAL WORKER
• Jonathan Isaac Blake, DPT
• Kimberly Blaker-Smith, M.S.P.T.
• Auguslene Blanc
• Crystal Blanc
• Myrlande Blanchard
• Rose Danielle Blanchard
• Eli Blanco-Jimenez
• Beatriz Blanco
• Naysa Blanco

• Clinical Psychologist in Davie, FL
• Providers in Davie, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.