Johanna W. Guerrero, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 8056 Issued in FL

Practice address

5190 NW 167TH St Ste 215
Miami Lakes, FL 33014-6338

Phone

(305) 456-4147

Fax

(305) 381-5292

NPI assigned

Apr 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790928281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 NW 97TH DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330761850",
            "telephone_number": "817-707-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 215",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "305-456-4147",
            "fax_number": "305-381-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5803 NW 97th Dr",
            "address_purpose": "LOCATION",
            "city": "Parkland",
            "state": "FL",
            "postal_code": "330761850",
            "country_code": "US",
            "telephone_number": "817-707-6307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JOHANNA",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33487",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021294400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George L Guerra, D.D.S.
• Glenda Guerra
• Noel Guerra
• Guerrero Medical Rehab Center Inc.
• Jennifer Guerrero
• Aleida Guevara Salcedo, BCABA
• Yosarah M Guiardinu
• Guidewell Sanitas I, LLC
• Dianelys Guillen
• Krishma Kaur Guliani, D.C.

• Clinical Psychologist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.