Jorge L. Pena, CLINICAL PSYCHOLOGIS
NPI 1649454679ActiveIndividual· Exclusive Provider Organization· Miami Gardens, FL
Exclusive Provider Organization (CLINICAL PSYCHOLOGIS) in Miami Gardens, Florida, licensed in FL, with an NPI issued in December 2007.
Overview
| NPI | 1649454679 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CLINICAL PSYCHOLOGIS |
| Sole proprietor | Yes |
| NPI issued | Dec 27, 2007 |
| Last updated in NPPES | Dec 27, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | PY3600 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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