Active NPI
Home Psychiatric Service Corp
- Psychiatry Physician
- Aguada, PR
National Provider Identifier
1033924774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- HOME PSYCHIATRIC SERVICE CORP
- Practice address
- 222 Calle Marina
Aguada, PR 00602-3215 - Phone
- (787) 202-6967
- NPI assigned
- Feb 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ariel Cortes Badillo, MD
- Title
- Vice Presidente
- Phone
- (787) 202-6967
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
222 Calle Marina
Aguada, PR 00602-3215
Mailing address
222 Calle Marina
Aguada, PR 00602-3215
Phone (787) 202-6967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Aguada, PR
- NPI 1215167275
-
- Clinical Child & Adolescent Psychologist
- Aguada, PR
- NPI 1245585231
-
- General Practice Physician
- Aguadilla, PR
- NPI 1184708000
-
- Family Medicine Physician
- Aguada, PR
- NPI 1255475331
-
- Child & Adolescent Psychiatry Physician
- Aguada, PR
- NPI 1952740128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1033924774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 CALLE MARINA",
"city": "AGUADA",
"state": "PR",
"postal_code": "006023215",
"telephone_number": "787-202-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 CALLE MARINA",
"city": "AGUADA",
"state": "PR",
"postal_code": "006023215",
"telephone_number": "787-202-6967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME PSYCHIATRIC SERVICE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "BADILLO",
"authorized_official_first_name": "ARIEL",
"authorized_official_middle_name": "CORTES",
"authorized_official_title_or_position": "VICE PRESIDENTE",
"authorized_official_telephone_number": "787-202-6967",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.