Individual provider Active NPI

Amarillis Molina-Maysonet, MA PSIC.

  • School Psychologist
  • Barceloneta, PR
National Provider Identifier
1053861153
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4706 Issued in PR
Practice address
Carr. 140 KM64 H2
Cruce Davila
Barceloneta, PR 00617
Phone
(787) 412-5923
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4706 PR Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

Carr. 140 KM64 H2
Cruce Davila
Barceloneta, PR 00617

Mailing address

PO Box 1607
Barceloneta, PR 00617-1607
Phone (787) 412-5923

Other practice location 1

8106 Cardinal Cove Cir
Sanford, FL 32771-6335
Phone (787) 412-5923

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 Arts

State licenses

LicenseStateTypeSpecialty
4706PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1053861153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1607",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006171607",
            "telephone_number": "787-412-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 140 KM64 H2",
            "address_2": "CRUCE DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-412-5923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8106 Cardinal Cove Cir",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327716335",
            "country_code": "US",
            "telephone_number": "787-412-5923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA-MAYSONET",
        "first_name": "AMARILLIS",
        "credential": "MA PSIC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "4706",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.