Individual provider Active NPI

Carolina Isabel Alfonso, SS

  • School Psychologist
  • Port Saint Lucie, FL
National Provider Identifier
1366332801
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS749 Issued in FL
Practice address
13521 SW Margo Ter
Port Saint Lucie, FL 34987-5705
Phone
(305) 975-3734
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS749 FL Primary

Addresses

Primary practice location

13521 SW Margo Ter
Port Saint Lucie, FL 34987-5705

Mailing address

13521 SW Margo Ter
Port Saint Lucie, FL 34987-5705
Phone (305) 975-3734

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS749FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Academic, Behavioral, and Cognitive Testing Services LLC School Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1366332801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 SW MARGO TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349875705",
            "telephone_number": "305-975-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 SW MARGO TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349875705",
            "telephone_number": "305-975-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "CAROLINA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "SS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.