Karina Maria Luaces, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY10923 Issued in FL

Practice address

10205 S Dixie Hwy
Pinecrest, FL 33156-3167

Phone

(305) 662-2686

NPI assigned

Sep 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1295342806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 SW 90TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732415",
            "telephone_number": "786-301-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563167",
            "telephone_number": "305-662-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUACES",
        "first_name": "KARINA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10923",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@southmiamipsychologygroup.com",
            "affiliation": "N",
            "address_1": "10205 S Dixie Hwy",
            "city": "Pinecrest",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331563167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Longwill, DO PA
• Jennisey Lopez Gonzalez
• Diana M Lopez
• Valerie Lopez, DPT
• David Eduardo Lora
• Elizabeth Marie Machado, PT, DPT
• Samantha Bryn Mackson, PSYD
• Orlando Maiguel Garcia
• Daniel Manganelli
• Cindy Manon

• Psychologist in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.