Pamela Mendoza Torres, EDS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1298723 Issued in FL

Practice address

244 Porta Rosa Cir
St Augustine, FL 32092-0495

Phone

(904) 762-5449

NPI assigned

Jul 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Pamela Mendoza Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1619713005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 PORTA ROSA CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 PORTA ROSA CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920495",
            "telephone_number": "904-762-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA TORRES",
        "first_name": "PAMELA",
        "credential": "EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "1298723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MENDOZA",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• School Psychologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.