Ailyn Penate

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

10450 San Jose Blvd Ste L
Jacksonville, FL 32257-6257

Phone

(904) 289-3119

NPI assigned

Aug 8, 2013

Last updated

Mar 20, 2024By 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 1

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thoughtwise LLCGroup PAC ID 5395148670, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Thoughtwise LLC

  • Clinical Neuropsychologist
  • Tallahassee, FL
  • NPI 1871110460
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1447682711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 SAN JOSE BLVD STE L",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576257",
            "telephone_number": "904-289-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 SAN JOSE BLVD STE L",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576257",
            "telephone_number": "904-289-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENATE",
        "first_name": "AILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Pena, APRN
• Louise Pena, RBT
• Rose Marie Pena
• Vanessa Ileana Pena, CCC-SLP
• Luis Alberto Penaranda Bolano, M.D.
• Richard Pence, CRNA
• Dejana Pendarvis
• Kouvaris Pender
• Lena Rose Pendlebury
• Alicecer Vernetta Pendleton

• Clinical Neuropsychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.