Individual provider Active NPI

Venus Coss Lopez, PSY D

  • Clinical Psychologist
National Provider Identifier
1013339654
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5420 Issued in PR
Practice address
Bonneville Heights Calle Coamo #62
Caguas, PUERTO RICO 00727
SH
Phone
(787) 462-9344
NPI assigned
Jan 16, 2014
Last updated
Mar 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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 5420 PR Primary

Addresses

Primary practice location

Bonneville Heights Calle Coamo #62
Caguas, PUERTO RICO 00727
SH

Mailing address

62 Calle Coamo
Bonneville Heights
Caguas, PR 00727-4931
Phone (787) 462-9344

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
I20160311001897 PR Practitioner - Clinical Psychologist 2769788025 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5420PRMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Jan 16, 2016 Accepting new patients
Cossma Inc CurrentSince Jan 16, 2016 Accepting new patients
Cossma, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1013339654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CALLE COAMO",
            "address_2": "BONNEVILLE HEIGHTS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007274931",
            "telephone_number": "787-462-9344"
        },
        {
            "country_code": "SH",
            "country_name": "Saint Helena",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "BONNEVILLE HEIGHTS CALLE COAMO #62",
            "city": "CAGUAS",
            "state": "PUERTO RICO",
            "postal_code": "00727",
            "telephone_number": "787-462-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSS LOPEZ",
        "first_name": "VENUS",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.