Carmen De Llano, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11154 Issued in CA

Practice address

815 3Rd Ave Ste 107
Chula Vista, CA 91911-1308

Phone

(619) 584-6299

Fax

(833) 262-7523

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1992752406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14226 OAK SHADOWS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324419",
            "telephone_number": "619-847-5100",
            "fax_number": "833-262-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 3RD AVE STE 107",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111308",
            "telephone_number": "619-584-6299",
            "fax_number": "833-262-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LLANO",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "11154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY 11154/1",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PHYCHOLOGY",
            "identifier": "11154",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcos De la Sierra
• Daizy De la Torre-Rivera
• Hilda N De la Torre, LMFT
• Nina Rosana Joves De Lara, DPT
• Malachi De Leon-Lopez
• Cynthia De Simone
• Sherry Denise Deaner-Harrington, O.D.
• Deanna Risos DMD PC
• Deanna Risos DMD,PC.
• Shanen Decena

• Clinical Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.