Individual provider Active NPI

Elisa Seoane

  • Clinical Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1992175129
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12945 Issued in FL
Practice address
2148 NW 158TH Ave
Pembroke Pines, FL 33028-2423
Phone
(954) 589-7566
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY12945 FL Primary

Addresses

Primary practice location

2148 NW 158TH Ave
Pembroke Pines, FL 33028-2423

Mailing address

2148 NW 158TH Ave
Pembroke Pines, FL 33028-2423
Phone (954) 589-7566

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
PY12945FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Psychology Services Clinical CurrentSince Sep 21, 2025 Accepting new patients
Lorel Services LLC Mental Health PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1992175129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 NW 158TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282423",
            "telephone_number": "954-589-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 NW 158TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282423",
            "telephone_number": "954-589-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEOANE",
        "first_name": "ELISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.