Individual provider Active NPI

Nydia J Scalley, M.S

  • Psychologist
  • Guaynabo, PR
National Provider Identifier
1023219458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
350 Issued in PR
Practice address
A35 Calle Humacao
Villa Avila
Guaynabo, PR 00969-4604
Phone
(787) 759-9595
Fax
(787) 767-4798
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 350 PR Primary

Addresses

Primary practice location

A35 Calle Humacao
Villa Avila
Guaynabo, PR 00969-4604

Mailing address

Humacao A35
Villa Avila
Guaynabo, PR 00969
Phone (787) 759-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
350PRMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023219458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HUMACAO A35",
            "address_2": "VILLA AVILA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-759-9595",
            "fax_number": "787-767-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A35 CALLE HUMACAO",
            "address_2": "VILLA AVILA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694604",
            "telephone_number": "787-759-9595",
            "fax_number": "787-767-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLEY",
        "first_name": "NYDIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.