Karla Danielle Pena Rosa, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8755 Issued in FL

Practice address

412 S Hart Blvd
Orlando, FL 32835-1950

Phone

(321) 246-7490

NPI assigned

May 15, 2013

Last updated

Apr 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 FL

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Florida Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1255862439

  Clinical

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychologist

  Medicare reassignment Care Compare group NPD
• Ca Pacs 2 Medical Group Inc

  • Hospitalist Physician
  • San Leandro, CA
  • NPI 1801372669

  FL

  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  FL

  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment
• Karla D Pena Rosa PHD LLC

  • Clinical Psychologist
  • Orlando, FL
  • NPI 1942646070
  Authorized official Same address or phone

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1437595550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S HART BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328351950",
            "telephone_number": "321-246-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S HART BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328351950",
            "telephone_number": "321-246-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA ROSA",
        "first_name": "KARLA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8755",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raidy Pena Fernandez
• Roberto Pena Gonzalez, RN
• Liliana Pena Gutierrez, RBT
• Yamily Pena Perez
• Mabel Pena Ramirez, REGISTERED BEHAVIOR
• Alejandro J. Pena, M.D.
• Alexander Enrique Pena, MD
• Alexandra Pena
• Antonio E Pena, MD
• Brett Pena, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.