Individual provider Active NPI

Ana Elisa Carneiro Pena

  • School Psychologist
  • Framingham, MA
National Provider Identifier
1821376708
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
380957 Issued in MA
Practice address
651 Franklin St
Framingham, MA 01702-2919
Phone
(508) 620-1442
Fax
(508) 875-0806
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 380957 MA Primary

Addresses

Primary practice location

651 Franklin St
Framingham, MA 01702-2919

Mailing address

139 Algonquin TRL
Ashland, MA 01721-1995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
380957MAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1821376708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ALGONQUIN TRL",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 FRANKLIN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022919",
            "telephone_number": "508-620-1442",
            "fax_number": "508-875-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEIRO PENA",
        "first_name": "ANA",
        "middle_name": "ELISA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "380957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.