Dr Elena Coello-Jemmali Inc
Organization Active NPI Clinical Neuropsychologist · Palmetto Bay, FL
NPI 1801099155 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1801099155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- PY04371 (FL)
- Legal business name
- DR ELENA COELLO-JEMMALI INC
- Practice address
- 14707 S Dixie Hwy
#211
Palmetto Bay, FL 33176-7948 - Phone
- (305) 233-2010
- Fax
- (305) 233-2011
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Elena Coello Jemmali, PSYD
- Title
- Physician
- Phone
- (305) 233-2010
Practitioners 1
-
Elena C Coello-Jemmali, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051008000031 | FL | Part B Supplier - Clinic/Group Practice | 6103841267 |
Receives reassigned benefits from 1 practitioner Practice locations: Palmetto Bay, FL |
| O20230815003344 | TN | Part B Supplier - Clinic/Group Practice | 6103841267 |
Receives reassigned benefits from 1 practitioner Practice locations: Johnson City, TN |
National Provider Directory
Locations
206 Princeton Rd
Ste 41
Johnson City, TN 37601
Phone (305) 233-2010
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | PY04371 | FL | Yes |
Addresses
Primary practice location
14707 S Dixie Hwy
#211
Palmetto Bay, FL 33176-7948
Mailing address
14707 S Dixie Hwy
#211
Palmetto Bay, FL 33176-7948
Phone (305) 233-2010
Other providers in Palmetto Bay, FL
- Dixie Pharmacy Discount Inc
- Doctors Hospital Inc
- Maydelin De la Caridad Dominguez
- Daniel Dorta
- James Ryan Dougery
- Dr. Gisele Mardy Pediatric Center, PA
- Dr. Hyacynthia M. Leonce-James, LLC
- Dr. Jacob Small, PA
- Dr. James Nadell Clinical & Neuropsychology PLLC
- Lauren Elizabeth Dreisch
All providers in Palmetto Bay, FL · Clinical Neuropsychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.