DR. BLANCA PALENCIA-KERR (NPI# 1720004302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720004302 |
| Entity Type | Individual |
| Full Name | DR. BLANCA PALENCIA-KERR |
| Credential | PH.D. |
| Practice Address |
2893 Executive Park Dr Suite 122 Weston FL 33331-3666 |
| Mailing Address |
2893 Executive Park Dr 122 Weston FL 33331-3666 |
| Practice Telephone | 9547092701 |
| Practice Fax Number | 9544241298 |
| Mailing Telephone | 9547092701 |
| Mailing Fax Number | 9544241298 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 7261 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS (OUT OF NETWORK) | 75359 | 01 |
| DC | CAQH | 11758059 | 01 |
| Street Address |
2893 EXECUTIVE PARK DR SUITE 122 |
| City | WESTON |
| State | FL |
| Zip Code | 33331-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174061501 | Trinity Pharmaco-solutions, LLC | Exclusive Provider Organization | 2893 Executive Park Dr, Suite 305, Weston, FL 33331-3664 | 2017-02-06 |
| 1588114953 | You Tune | Counselor | 2893 Executive Park Dr, Suite 300, Weston, FL 33331-3664 | 2016-10-10 |
| 1588862767 | Kathleen Corcoran | Psychologist | 2893 Executive Park Dr, Suite 107, Weston, FL 33331-3664 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
| 1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
| Find all providers in zip 33331 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003299462 | Elizabeth Carmen Penela | Psychologist | 1625 N Commerce Pkwy Ste 200, Weston, FL 33326-3206 | 2015-07-02 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1437562311 | Laura K. Wiilson | Psychologist | 37 Elizabeth Dr, Weston, WV 26452-7057 | 2014-06-09 |
| 1447530548 | Josimar Saldana Torres | Psychologist | 1555 Bonaventure Blvd Ste 1022, Weston, FL 33326-4041 | 2011-08-19 |
| 1306091194 | Rosalind C. Barnett | Psychologist | 21 Partridge Hill Rd, Weston, MA 02493-1736 | 2008-11-21 |
| 1811179534 | Lauren Kittel Brickman | Psychologist | 713 Sunflower Cir, Weston, FL 33327-2114 | 2007-12-04 |
| 1023147956 | Marie L Darmanian | Psychologist | 17100 Royal Palm Blvd, Suite 1, Weston, FL 33326 | 2007-03-05 |
| 1508995432 | Lisa Carol T Davenport | Psychologist | 17100 Royal Palm Boulevard, Suite One, Weston, FL 33326 | 2007-03-05 |
| 1295876027 | Barbara Lavi | Psychologist | 15 Beaverbrook Rd, Weston, CT 06883-1804 | 2007-02-12 |
| 1558414565 | Dagmar Tamara Bielek | Psychologist | 1431 Capri Ln, Apt. 5209, Weston, FL 33326-4010 | 2007-01-21 |
| Find all providers in WESTON | ||||
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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.