Individual provider Active NPI

Evelyn Maria Barrera, ED.S.

  • School Psychologist
  • Hialeah, FL
National Provider Identifier
1962948851
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS575 Issued in FL
Practice address
1275 W 47TH PL Ste 407
Hialeah, FL 33012-3451
Phone
(786) 859-9369
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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 SS575 FL Primary

Addresses

Primary practice location

1275 W 47TH PL Ste 407
Hialeah, FL 33012-3451

Mailing address

56 Truman Dr
Weston, FL 33326-3111
Phone (305) 785-3422

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

56 Truman Dr
Weston, FL 33326-3111

8100 Cleary Blvd
Apt 1002
Plantation, FL 33324-1370
Phone (786) 562-8963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SS575FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Options, Corp. Past Accepting new patients

Organizations & group practices 1

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": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1962948851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 TRUMAN DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263111",
            "telephone_number": "305-785-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 407",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123451",
            "telephone_number": "786-859-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "EVELYN",
        "middle_name": "MARIA",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.