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Active NPI 1669613642 Individual Practitioner Female Practitioner

Dr. Eileen Da Pena , PsyD

Psychologist - Clinical • Miami, FL

Professional Overview & Biography Verified Profile Summary

Dr. Eileen Da Pena, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Miami, FL. Practice services are available at 2250 NW 114TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2250 Nw 114th Ave
Unit 1p, Pty 1457

Miami, FL 33192

Telephone 2102099188

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
277 Specialists

Practicing in Miami, FL (3084 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-29
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License CA 19674

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Clinical Neuropsychologist

NUCC Taxonomy Code: 103G00000X

State License CA 19674

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2020

Psychologist (License #19674 in CA)

📍
Updated Practice Location June 01, 2020

Registered at 2250 NW 114TH AVE, UNIT 1P, PTY 1457, MIAMI, FL 33192 (Tel: 2102099188)

📍
Updated Business Mailing Address June 01, 2020

Registered at PO BOX 025724 PTY 1457, MIAMI, FL 331920001 (Tel: 2102099188)

NPI Profile Active November 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2009

Registered at 14502 GREENVIEW DR, SUITE 430, LAUREL, MD 207083287 (Tel: 3014980000)

📍
Updated Business Mailing Address November 24, 2009

Registered at 14502 GREENVIEW DR, SUITE 430, LAUREL, MD 207083287 (Tel: 3014980000)

👤
Provider Name / Credentials Updated November 24, 2009

Recorded as EILEEN DA PENA, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2009

Clinical Neuropsychologist (License #19674 in CA)

🟢
Initial NPI Registration & Enumeration March 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669613642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2009
Last Update: June 29, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 025724 Pty 1457

Miami, FL 331920001

Phone: 2102099188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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