Denise Carballea, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12377 Issued in FL

Practice address

16000 Pines Blvd Unit 820873
Pembroke Pines, FL 33082-9223

Phone

(305) 520-9122

Fax

(561) 973-3506

NPI assigned

May 23, 2025

Last updated

Jun 3, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tailored Brain Health PLLCGroup PAC ID 7517375199, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tailored Brain Health PLLC

  • Adult Mental Health Clinic/Center
  • Greensboro, NC
  • NPI 1962081885
  Medicare reassignment Care Compare group NPD
• Unchained Brain LLC

  • Clinical Psychologist
  • Pembroke Pines, FL
  • NPI 1730039652

  Clinical Neuropsychologist

  NPD Authorized official

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1306639398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PINES BLVD UNIT 820873",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330829223",
            "telephone_number": "305-520-9122",
            "fax_number": "561-973-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PINES BLVD UNIT 820873",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330829223",
            "telephone_number": "305-520-9122",
            "fax_number": "561-973-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLEA",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY12377",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel A Caraballo, DO
• Daniela Andrea Caraballo
• Reynam Caraballo
• Kevin Caramb Bormey
• William Caramb Bormey
• Pedro Pablo Carballo, M.D.
• Samantha Thea Carbonaro, RN, MSN PMHNP
• Jennifer Carcache, APRN
• Elisdania Cardenas Rodriguez
• Melissa Ann Cardenas-Morales, M.D.

• Clinical Psychologist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.