Active NPI
Yadira Santiago, PSY.D.
- Clinical Psychologist
- Arecibo, PR
National Provider Identifier
1053530725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2600
- Practice address
- Carretera Numero 2 Kilometro 69.3
Barrio Santana
Arecibo, PR 00612-0000 - Phone
- (939) 268-8515
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2600 | PR | Primary |
Addresses
Primary practice location
Carretera Numero 2 Kilometro 69.3
Barrio Santana
Arecibo, PR 00612-0000
Mailing address
PO Box 142816
Arecibo, PR 00614-2816
Phone (939) 268-8515
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2600 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1053530725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142816",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006142816",
"telephone_number": "939-268-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA NUMERO 2 KILOMETRO 69.3",
"address_2": "BARRIO SANTANA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006120000",
"telephone_number": "939-268-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "YADIRA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.