Organization Active NPI

Samantha Carella PSYD and Associates

  • Clinical Child & Adolescent Psychologist
  • Aventura, FL
National Provider Identifier
1710007273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY0005835 Issued in FL
Legal business name
SAMANTHA CARELLA PSYD AND ASSOCIATES
Practice address
19022 NE 29TH Ave
Aventura, FL 33180-2823
Phone
(305) 936-1002
Fax
(305) 936-1022
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samantha Carella, PSY.D.
Title
Psychologist Owner
Phone
(305) 936-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X PY0005835 FL Primary

Addresses

Primary practice location

19022 NE 29TH Ave
Aventura, FL 33180-2823

Mailing address

19022 NE 29TH Ave
Aventura, FL 33180-2823
Phone (305) 936-1002

National Provider Directory

National Provider Directory

Locations

19022 NE 29th Ave
Miami, FL 33180
Phone (305) 931-1617

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710007273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19022 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802823",
            "telephone_number": "305-936-1002",
            "fax_number": "305-936-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19022 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802823",
            "telephone_number": "305-936-1002",
            "fax_number": "305-936-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA CARELLA PSYD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARELLA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "305-936-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY0005835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.