Psico Group de PR Inc

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

PSICO GROUP DE PR INC

Doing business as

PSYCOmax

Practice address

Concordia Shopping Center
Ave. 65TH Infanteria Bo. Sabana Llana Sur
San Juan, PR 00729-0604

Phone

(787) 220-1272

NPI assigned

Aug 26, 2025

Organization subpart

No

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

Authorized official

Name

Andres R Andino Serrano, M.PSYNPI 1417379405

Title

Psicology

Phone

(787) 220-1272

Specialties & licenses 2

Addresses

Other names 1

• PSYCOmax Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Onelia M Rosa Perez, CPL

  • Professional Counselor
  • San Juan, PR
  • NPI 1205412525
  Medicare reassignment NPD
• Andres Raul Andino Serrano, M.PSY

  • Counseling Psychologist
  • San Juan, PR
  • NPI 1417379405

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1063390029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290604",
            "telephone_number": "787-220-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONCORDIA SHOPPING CENTER",
            "address_2": "AVE. 65TH INFANTERIA BO. SABANA LLANA SUR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "007290604",
            "telephone_number": "787-220-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSICO GROUP DE PR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "ANDINO SERRANO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSICOLOGY",
        "authorized_official_telephone_number": "787-220-1272",
        "authorized_official_credential": "M.PSY"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSYCOmax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psicologia Avanzada Diaz
• Psicologos Clinicos del Santurce Medical Mall, CSP
• Psiconsulta
• Psych Wellness Center PSC

• Counseling Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.