Active NPI
Gesenia S Sloan-Pena, MA
- Clinical Neuropsychologist
- Estero, FL
National Provider Identifier
1437380490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 20301 Grande Oak Shoppes Blvd # 118-58
Estero, FL 33928-7698 - Phone
- (954) 803-9002
- NPI assigned
- Aug 7, 2009
- Last updated
- Jul 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
20301 Grande Oak Shoppes Blvd # 118-58
Estero, FL 33928-7698
Mailing address
20301 Grande Oak Shoppes Blvd # 118-58
Estero, FL 33928-7698
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1437380490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20301 GRANDE OAK SHOPPES BLVD # 118-58",
"city": "ESTERO",
"state": "FL",
"postal_code": "339287698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20301 GRANDE OAK SHOPPES BLVD # 118-58",
"city": "ESTERO",
"state": "FL",
"postal_code": "339287698",
"telephone_number": "954-803-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN-PENA",
"first_name": "GESENIA",
"middle_name": "S",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-07",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
- Scott W Sitterson
- Karen Slater, MD.
- Sleep & Apnea Institute of Florida PLLC
- Sleep Disorder Center of Estero, LLC
- Sleep Medicine Specialists of Southwest FL P.a.
- Smita Sunrise OT LLC
- Ashley Smith, LCSW
- Diana Smith, DO6088
- Casey Lynn Sodano
- Solaris Rehab, LLC (Solaris Rehab DBA Solaris Health & Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.