Active NPI
Stephany Collazo Otero
- School Psychologist
- Bayamon, PR
National Provider Identifier
1063329811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 7511
- Practice address
- Ave. Carlos J. Andalue Il17, Royal Palm,
Bayamon, PR 00956 - Phone
- (939) 425-6194
- NPI assigned
- Aug 26, 2026
- Last updated
- Aug 26, 2026
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 7511 | PR | Primary |
Addresses
Primary practice location
Ave. Carlos J. Andalue Il17, Royal Palm,
Bayamon, PR 00956
Mailing address
PO Box 2282
Vega Baja, PR 00694-2282
Phone (939) 223-9163
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7511 | PR | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parliamo Sobre Ruedas | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Bayamon, PR
- NPI 1679144935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1063329811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2282",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006942282",
"telephone_number": "939-223-9163",
"fax_number": "939-223-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. CARLOS J. ANDALUE IL17, ROYAL PALM,",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "939-425-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO OTERO",
"first_name": "STEPHANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "7511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.