Nilda Ivelisse Acevedo Hernandez, MS

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

8083 Issued in PR

Practice address

PO Box 1106
Moca, PR 00676-1106

Phone

(939) 200-3629

NPI assigned

Jun 9, 2025

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psidep LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moca, PR
  • NPI 1790414530
  NPD

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1003700428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ISLAZUL 3379",
            "address_2": "CALLE TENERIFE",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-224-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761106",
            "telephone_number": "939-200-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO HERNANDEZ",
        "first_name": "NILDA",
        "middle_name": "IVELISSE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "8083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abc Therapy and Learning Center LLC
• Ricardo J Abrams, M.D.
• Hector Manuel Acevedo Caban, MD
• Carlos E. Acevedo Cajigas, MD
• Glenda E Acevedo Gonzalez
• Lisaida Acevedo Perez, MD
• Edwin Lemuel Acevedo Soto, MS
• Elba I Acevedo
• Grisel Enid Acevedo
• Luis Angel Acevedo, ED. D.

• Counseling Psychologist in Moca, PR
• Providers in Moca, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.