Carmen Rosa Cornide, PSY. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5595 Issued in FL

Practice address

1601 N Palm Ave
Suite 300
Pembroke Pines, FL 33026-3200

Phone

(954) 443-0018

Fax

(954) 432-3470

NPI assigned

Jul 21, 2006

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

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, 1995

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

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carmen Cornide, Psy.D., P.a.

  • Clinical Psychologist
  • Pembroke Pines, FL
  • NPI 1952784225
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699796011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE",
            "address_2": "SUITE 300",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263200",
            "telephone_number": "954-443-0018",
            "fax_number": "954-432-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE",
            "address_2": "SUITE 300",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263200",
            "telephone_number": "954-443-0018",
            "fax_number": "954-432-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIDE",
        "first_name": "CARMEN",
        "middle_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Anne-Marie Coriolan
• Stephanie Marie-Louise Coriolan, MD
• Deborah Jill Corliss, DMD
• Cornerstone of Change, LLC
• Altagracita Cornet, NURSE PRACTITIONER
• Dianelis Corral Lobaina
• Maysel Correa Bickham, P.A
• Anelys Correa, D.M.D
• Gabriel Jose Diaz Correa, MD
• Sabrina Raquel Correa, DMD

• Psychologist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.