Active NPI
Regina Mendoza, PSY.D.
- Clinical Psychologist
- Coral Gables, FL
National Provider Identifier
1255313854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6601
- Practice address
- 1390 S Dixie Hwy
Suite 1306
Coral Gables, FL 33146-2927 - Phone
- (305) 262-0806
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6601 | FL | Primary |
Addresses
Primary practice location
1390 S Dixie Hwy
Suite 1306
Coral Gables, FL 33146-2927
Mailing address
1390 S Dixie Hwy
Suite 1306
Coral Gables, FL 33146-2927
Phone (305) 262-0806
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1255313854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 S DIXIE HWY",
"address_2": "SUITE 1306",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462927",
"telephone_number": "305-262-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 S DIXIE HWY",
"address_2": "SUITE 1306",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462927",
"telephone_number": "305-262-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "REGINA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.