Maite Ivelisse Negron, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5698 Issued in PR

Practice address

6 Calle Jose de Diego
Ciales, PR 00638-3214

Phone

(787) 871-0356

NPI assigned

Jul 16, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro Imec, Inc.

  • Speech-Language Pathologist
  • Ciales, PR
  • NPI 1699565663
  NPD

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1053929018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60026 CALLE NARANJO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469673",
            "telephone_number": "787-562-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE JOSE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383214",
            "telephone_number": "787-871-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "MAITE",
        "middle_name": "IVELISSE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Morales Bou
• Darline Morales Miranda
• Melanie D Morey Ocasio
• Municipio de Ciales
• Municipio de Ciales
• Juan Luis Nieves, PT
• Biviana Ocasio
• Carmen Janet Ocasio, PHARMACY TECHNICIAN
• Tamara Oliver
• Nayda Oliveras Montijo

• Clinical Psychologist in Ciales, PR
• Providers in Ciales, 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 May 13, 2025; 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.