MEDICARE: DR. SAMANTHA CARELLA PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC2200X	Clinical Child & Adolescent Psychologist	PY00005835	FL

General Provider Information

NPI Number	:	1912030487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMANTHA CARELLA PSY.D.

Provider Business Mailing Address
First Line	:	19022 NE 29TH AVE
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-2823
Country	:	US
Telephone Number	:	305-936-1002
Fax Number	:	305-936-1022

Provider Business Practice Location Address
First Line	:	19022 NE 29TH AVE
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-2823
Country	:	US
Telephone Number	:	305-936-1002
Fax Number	:	305-936-1022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1003529694 — VICTOR ISAAC PEREZ
Practice Location Address:

19022 NE 29TH AVE
AVENTURA, FL
33180-2823

Practice Phone: 305-931-1617
Practice Fax: 786-431-2576

1669561205 — DR. DAVID HERSKOWICH D.M.D.
Practice Location Address:

19016 NE 29TH AVE
AVENTURA, FL
33180-2823

Practice Phone: 305-466-5555
Practice Fax: 305-466-5505

1588708507 — WARREN MITCHELL KRANTZ M.D.
Practice Location Address:

19030 NE 29TH AVE
AVENTURA, FL
33180-2823

Practice Phone: 305-932-5533
Practice Fax:

1407990336 — KAUFMAN, MULTACH AND KRANTZ MD. PA
Practice Location Address:

19030 NE 29TH AVE
AVENTURA, FL
33180-2823

Practice Phone: 303-932-5533
Practice Fax:

1487779765 — DR. DANIELLE STIER PH.D.
Practice Location Address:

19022 NE 29TH AVE
AVENTURA, FL
33180-2823

Practice Phone: 305-936-1002
Practice Fax:

1184749202 — MS. NICHOLE ELIZABETH ECKERT MS, LMHC
Practice Location Address:

19022 NE 29TH AVE
AVENTURA, FL
33180-2823

Practice Phone: 305-936-1002
Practice Fax:

Directions to “ DR. SAMANTHA CARELLA PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.