Individual provider Active NPI

Alessandra C Negron Simonetti, PSYD

  • Clinical Psychologist
  • Dorado, PR
National Provider Identifier
1013241728
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3273 Issued in PR
Practice address
31110
Urb Miraflores
Dorado, PR 00646-0000
Phone
(787) 599-8200
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3273 PR Primary

Addresses

Primary practice location

31110
Urb Miraflores
Dorado, PR 00646-0000

Mailing address

31110 Calle Miramelinda
Dorado, PR 00646-8424
Phone (787) 599-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827001712 PR Practitioner - Clinical Psychologist 1951728542 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1013241728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31110 CALLE MIRAMELINDA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006468424",
            "telephone_number": "787-599-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31110",
            "address_2": "URB MIRAFLORES",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460000",
            "telephone_number": "787-599-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON SIMONETTI",
        "first_name": "ALESSANDRA",
        "middle_name": "C",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

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