Jessica J Pena Morales, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3278 Issued in PR

Practice address

26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612

Phone

(813) 219-0152

Fax

(873) 200-3500

NPI assigned

Feb 12, 2009

Last updated

Jan 4, 2023By 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

Other identifiers 1

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Dr Psychologist LLC

  • Clinical Psychologist
  • Wesley Chapel, FL
  • NPI 1942952312
  Medicare reassignment NPD Authorized official
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Centro Clinico del Norte Pena LLC

  • Primary Care Clinic/Center
  • Dorado, PR
  • NPI 1710670757
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1639318819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26829 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444612",
            "telephone_number": "813-219-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26829 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444612",
            "telephone_number": "813-219-0152",
            "fax_number": "873-200-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA MORALES",
        "first_name": "JESSICA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11065",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CY198A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Health Care Alliance, PA
• Pediatrix Medical Group of Florida Inc
• Taimoor Wajid Peerzada, DMD
• Peggy J Sterling O.D.P.a.
• Robleda C Pelt, MLP-NP
• Nicole Lee Pena, LCSW
• Gillian Georgette Penn, LCSW
• Jennifer E Penney, ANP, FNP
• Jordan W Peoples, D.C.
• Daihla Perard Bastien, M.D.

• Clinical Psychologist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.