Vymagda Chico Nolla, PSY. D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2238 Issued in PR

Practice address

543 Ave Jose Cedeno
Suite 204
Arecibo, PR 00612-3935

Phone

(787) 879-1121

Fax

(787) 879-1121

NPI assigned

Jan 11, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 9

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033269139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 AVE JOSE CEDENO",
            "address_2": "SUITE 204",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123935",
            "telephone_number": "787-879-1121",
            "fax_number": "787-879-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 AVE JOSE CEDENO",
            "address_2": "SUITE 204",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123935",
            "telephone_number": "787-879-1121",
            "fax_number": "787-879-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICO NOLLA",
        "first_name": "VYMAGDA",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS T- REFORMA",
            "identifier": "2687",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS OPTIMO",
            "identifier": "56791CH",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PS-1006",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA APS",
            "identifier": "2646",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS (PAE) (FHC)",
            "identifier": "528111",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC (FHC)",
            "identifier": "528111",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS FEDERAL",
            "identifier": "528111",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "56791CH",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC FIRTS MEDICAL",
            "identifier": "P844",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daphne Charles
• Ibrahim Charon, PSY.D.
• Anoop Kumar Chaturvedi, MD
• Katiria Chevere
• Mildred Chico Heredia
• Damaso Chico, SRNA
• Samuel Chico, MSW
• Childs Therapy Service, LLC.
• Elly Chiprout, M.D.
• Evelyn Carolina Chisholm, MD

• Clinical Psychologist in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Clinical Psychologist in Puerto Rico

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.