Organization Active NPI

Psychologistic

  • Clinical Psychologist
  • Toa Baja, PR
National Provider Identifier
1063779155
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2553 Issued in PR
Legal business name
PSYCHOLOGISTIC
Practice address
Ea4 Calle Rosa de Tejas
La Rosaleda
Toa Baja, PR 00949-4721
Phone
(787) 795-2655
Fax
(787) 795-2695
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Priscille Marie Joglar, PSY D
Title
Director, Clinical Psychologist
Phone
(939) 218-7262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2553 PR Primary

Addresses

Primary practice location

Ea4 Calle Rosa de Tejas
La Rosaleda
Toa Baja, PR 00949-4721

Mailing address

Urb. la Rosaleda 1
Calle Rosa de Tejas Ea 4
Toa Baja, PR 00949-4721
Phone (787) 795-2655

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1063779155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA ROSALEDA 1",
            "address_2": "CALLE ROSA DE TEJAS EA 4",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494721",
            "telephone_number": "787-795-2655",
            "fax_number": "787-795-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EA4 CALLE ROSA DE TEJAS",
            "address_2": "LA ROSALEDA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494721",
            "telephone_number": "787-795-2655",
            "fax_number": "787-795-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGISTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "JOGLAR",
        "authorized_official_first_name": "PRISCILLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "939-218-7262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.