Active NPI
Karla D Pena Rosa PHD LLC
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1942646070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 8755
- Legal business name
- KARLA D PENA ROSA PHD LLC
- Practice address
- 412 S Hart Blvd
Orlando, FL 32835-1950 - Phone
- (321) 246-7490
- NPI assigned
- May 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karla Danielle Pena Rosa, PH.D.
- Title
- Licensed Psychologist
- Phone
- (321) 246-7490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 8755 | FL | Primary |
Addresses
Primary practice location
412 S Hart Blvd
Orlando, FL 32835-1950
Mailing address
412 S Hart Blvd
Orlando, FL 32835-1950
Phone (321) 246-7490
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1942646070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 S HART BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328351950",
"telephone_number": "321-246-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 S HART BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328351950",
"telephone_number": "321-246-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARLA D PENA ROSA PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "PENA ROSA",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "321-246-7490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 8755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.