Eos: Psychological Wellness Centre

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

4105 Issued in PR

Legal business name

EOS: PSYCHOLOGICAL WELLNESS CENTRE

Practice address

Ave Monserrate Ab 18 Local 4
Valle Arriba Heights
Carolina, PR 00985

Phone

(787) 550-9708

NPI assigned

Feb 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Agnes Sybel Diaz, PH.D.NPI 1851660914

Title

Clinical Psychologist

Phone

(787) 550-9708

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agnes S Diaz, PH.D.

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1851660914
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1003188244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 31 AF 24 URB. INTERAMERICANA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-550-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MONSERRATE AB 18 LOCAL 4",
            "address_2": "VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-550-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EOS: PSYCHOLOGICAL WELLNESS CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "SYBEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-550-9708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "4105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emps, Inc (Emergency Physician Group)
• EMS Emergency Medical Corp
• Yatnee Alys Encarnacion Gines
• Carmen L. Encarnacion-Hernandez, PT, MPH
• Endodoncia del Noreste, PSC
• Mirla K Erausquin Colon, O.D.
• Alfredo L. Escalera, MD
• Escorial Imaging Center, PSC
• Escorial MRI & CT Imaging Center, PSC
• Josefina Espaillat

• Mental Health Clinic/Center (Including Community Mental Health Center) in Carolina, PR
• Providers in Carolina, PR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.