Organization Active NPI

Karla D Pena Rosa PHD LLC

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1942646070
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 8755 Issued in FL
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

Updated by the provider on May 15, 2013

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.