JOAN ALICE CARRILLO (NPI# 1770502858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770502858 |
| Entity Type | Individual |
| Full Name | JOAN ALICE CARRILLO |
| Credential | PHD |
| Practice Address |
100 Ne 15th St #208 Homestead FL 33030 |
| Practice Telephone | 3056667055 |
| Practice Fax Number | 3052453901 |
| Mailing Telephone | 3056667055 |
| Mailing Fax Number | 3052453901 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY4463 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 73918 | 01 |
| Street Address |
100 NE 15TH ST #208 |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023087947 | Oriental Medicine Associates, Inc | Acupuncturist | 100 Ne 15th St, Suite 103-b, Homestead, FL 33030-4581 | 2006-03-14 |
| 1548573397 | Barbara Vittoria, Lcsw, P.a. | Social Worker | 100 Ne 15th St, #103, Homestead, FL 33030 | 2010-07-22 |
| 1356522155 | Adriana M. Bonansea-frances | Allergy & Immunology | 100 Ne 15th St, Suite 104, Homestead, FL 33030-4581 | 2007-11-20 |
| 1982812335 | Edwin Cordero, Md, Pa | Pediatrics | 100 Ne 15th St, Ste 101, Homestead, FL 33030-4581 | 2007-05-18 |
| 1376604504 | Barbara Elizabeth Vittoria | Social Worker | 100 Ne 15th St, Suite# 103, Homestead, FL 33030-4581 | 2006-12-12 |
| 1679652895 | Superioir Healthcare Services, LLC. | Home Health | 100 Ne 15th St, Suite 207, Homestead, FL 33030-4581 | 2006-11-06 |
| 1578526273 | Anabetsy C. Bailey | Allergy & Immunology | 100 Ne 15th St, Suite 104, Homestead, FL 33030-4581 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515871 | Clinica Las Mercedes Vi, Inc | Clinic/Center | 290 Ne 8 Street, Homestead, FL 33030 | 2019-12-18 |
| 1770124331 | Md Now Medical Centers Inc | Clinic/Center | 729 S Homestead Blvd, Homestead, FL 33030 | 2019-10-04 |
| 1437611787 | Yevgeniy Mailyan | Behavior Technician | 1513 Sw 2nd Court, Homestead, FL 33030 | 2019-04-04 |
| 1144789306 | Special Delivery Health Center, LLC | Midwife | 123 N. Krome Avenue, Suite 101, Homestead, FL 33030 | 2019-03-18 |
| 1144718578 | Galovin Solutions Inc | Behavioral Analyst | 50 Nw 15th St Ste 111, Homestead, FL 33030 | 2018-05-01 |
| 1003332073 | Juan C Gonzalez Ibarra | Behavior Technician | 800 Ne 12th Ave Apt# C214, Homestead, FL 33030 | 2017-08-21 |
| 1023534757 | Lunilda L Mcvay | Psychologist | 151 Nw 11st St Suite W-201, Monarch All Health, LLC, Homestead, FL 33030 | 2017-08-15 |
| 1295250025 | Clara L Perez | Behavior Technician | 800 Ne 12th Ave Apt# L256, Homestead, FL 33030 | 2017-08-14 |
| 1205350535 | Charity's Homemaker Companion Services, LLC | Homemaker | 30855 Sw 205 Ave, Homestead, FL 33030 | 2017-07-28 |
| 1003346693 | Yanet Rodriguez Sardinas | Behavioral Analyst | 906 Nw 3rd Ave, Homestead, FL 33030 | 2017-06-15 |
| Find all providers in zip 33030 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751037 | Keys Gate Wellness Associates, LLC | Psychologist | 100 Ne 15th St Ste 101d, Homestead, FL 33030-4564 | 2019-10-10 |
| 1306020763 | Kristin G Litten Burnitz | Psychologist | 950 N Krome Ave Ste 407, Homestead, FL 33030-4443 | 2007-12-20 |
| 1346761244 | Thayra Marie Zambrana-nieves | Psychologist | 151 Nw 11th Street, Suite W-201, Homestead, FL 33030 | 2017-06-29 |
| 1245785971 | Ailyn Payan | Psychologist | 49 Nw 17th St, Homestead, FL 33030-3210 | 2016-08-23 |
| 1235323437 | Roberto C Paladines, Inc | Psychologist | 13841 Sw 282nd St, Homestead, FL 33033-5732 | 2007-08-30 |
| 1891908307 | Carol Walter Kaufman | Psychologist | 311 Ne 8th St, Suite 102, Homestead, FL 33030-4738 | 2007-05-08 |
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| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.