BETTY CARVAJAL-PANTALEON MS, PHD
NPI 1356614960
Counselor - Mental Health in St Augustine, FL

Active since February 13, 2012
1100 PLANTATION ISLAND DR S, STE 140, ST AUGUSTINE, FL 32080(904) 392-5434(904) 471-0074 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Betty Carvajal-pantaleon Ms, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETTY CARVAJAL-PANTALEON MS, PHD (NPI 1356614960) is an individual mental health provider in St Augustine, Florida, licensed in Florida (MH11064) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1356614960
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETTY CARVAJAL-PANTALEONCredential: MS, PHD
Location Address1100 PLANTATION ISLAND DR S, STE 140St Augustine, FL 32080-5173
Mailing AddressPo Box 3123St Augustine, FL 32085-3123 · (904) 824-4990 · Fax (904) 824-2226
Fax(904) 471-0074
Sole ProprietorYes
Enumeration DateFebruary 13, 2012
Last NPPES UpdateAugust 20, 2014
NPI 1356614960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH11064
1100 PLANTATION ISLAND DR S, St Augustine, FL 32080

Other Identifiers 1

OtherZ04JFFL · New Directions / Fl Blue

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1100 PLANTATION ISLAND DR S, STE 140
ST AUGUSTINE, FL 32080
Durable Medical Equipment & Medical Supplies
1100 PLANTATION ISLAND DR S, SUITE 140
ST AUGUSTINE, FL 32080
Psychiatry & Neurology (Psychiatry)
1100 PLANTATION ISLAND DR S
SAINT AUGUSTINE, FL 32080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betty Carvajal-pantaleon's NPI number?

The NPI number for Betty Carvajal-pantaleon is 1356614960. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Where is Betty Carvajal-pantaleon located?

Betty Carvajal-pantaleon practices at 1100 Plantation Island Dr S Ste 140, St Augustine, FL 32080. The listed phone number is (904) 392-5434.

What is Betty Carvajal-pantaleon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Betty Carvajal-pantaleon was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.