Organization Active NPI

Psicomedica del Oeste CSP

  • Group Psychotherapy Psychologist
  • Lajas, PR
National Provider Identifier
1023565710
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
2024 Issued in PR
Legal business name
PSICOMEDICA DEL OESTE CSP
Practice address
111 Urbanizacion El Valle Alamo
Lajas, PR 00667-2502
Phone
(787) 376-7589
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Mr. Frank R Tapia
Title
President
Phone
(787) 376-7589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X 2024 PR Primary

Addresses

Primary practice location

111 Urbanizacion El Valle Alamo
Lajas, PR 00667-2502

Mailing address

111 Urbanizacion El Valle Alamo
Lajas, PR 00667-2502
Phone (787) 376-7589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170315002462 PR Part B Supplier - Clinic/Group Practice 6103101027 Receives reassigned benefits from 1 practitioner
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1023565710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 URBANIZACION EL VALLE ALAMO",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672502",
            "telephone_number": "787-376-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 URBANIZACION EL VALLE ALAMO",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672502",
            "telephone_number": "787-376-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSICOMEDICA DEL OESTE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "17873767589",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PR",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.