Pediatric Psychology Associates PL

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

PEDIATRIC PSYCHOLOGY ASSOCIATES PL

Practice address

19022 NE 29TH Ave
Aventura, FL 33180-2823

Phone

(305) 936-1002

NPI assigned

Jul 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Carella, PSY.D.

Title

Manager

Phone

(305) 936-1002

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Psychology Associates Doing business as

Tax ID family

Pediatric Psychology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Psychology Associates

  • Mental Health Counselor
  • Miami, FL
  • NPI 1083140222
  NPD tax ID

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1376773614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19022 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802823",
            "telephone_number": "305-936-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19022 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802823",
            "telephone_number": "305-936-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PSYCHOLOGY ASSOCIATES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "CARELLA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-936-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Psychology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Shelley Pearl, MSW
• Jennifer Pechenik, LCSW, PSYD
• Pediatric Care for Kids, PA
• Pediatric Endocrine and Wellness Center, PA
• Pediatric Eye Associates Inc
• Pediatrix Medical Group of Florida Inc
• Francisco Pedraza, PHARMD
• Neta Peleg-Oren, PH.D
• Michael Pelekhach, MD
• Cesar M Pellerano, MD

• Clinical Child & Adolescent Psychologist in Aventura, FL
• Providers in Aventura, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.