Individual provider Active NPI

Pamela Scannell

  • Clinical Psychologist
  • Wellington, FL
National Provider Identifier
1952066433
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11050 Issued in FL
Practice address
11120 S Crown Way Ste 1
Wellington, FL 33414-8718
Phone
(561) 790-1191
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY11050 FL Primary

Addresses

Primary practice location

11120 S Crown Way Ste 1
Wellington, FL 33414-8718

Mailing address

11120 S Crown Way Ste 1
Wellington, FL 33414-8718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. Clinical CurrentSince Nov 1, 2021 Accepting new patients
Andrew R Bunce PA Clinical CurrentSince Mar 15, 2023 Accepting new patients
Cotler Children and Family Services, LLC Clinical Past Accepting new patients

Locations

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

1990 S Canal Dr
Homestead, FL 33035
Phone (305) 246-1200

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

1601 N Palm Ave
Ste 210
Pembroke Pines, FL 33026
Phone (786) 457-9431

11120 S Crown Way
Ste 1
Wellington, FL 33414
Phone (561) 419-6779

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1952066433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 S CROWN WAY STE 1",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 S CROWN WAY STE 1",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148718",
            "telephone_number": "561-790-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANNELL",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.