Active NPI
Juanita Herlinda Moreno, PH.D.
- Clinical Psychologist
- Pembroke Pines, FL
National Provider Identifier
1629305222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7945
- Practice address
- 15800 Pines Blvd., Suite 300
Pembroke Pines, FL 33027 - Phone
- (954) 251-0660
- NPI assigned
- Nov 3, 2009
- Last updated
- Feb 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7945 | FL | Primary |
Addresses
Primary practice location
15800 Pines Blvd., Suite 300
Pembroke Pines, FL 33027
Mailing address
P.O. Box 821451
Pembroke Pines, FL 33082-9699
Phone (954) 251-0660
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7945 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1629305222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 821451",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330829699",
"telephone_number": "954-251-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 PINES BLVD., SUITE 300",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33027",
"telephone_number": "954-251-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "JUANITA",
"middle_name": "HERLINDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.