Clinica de Servicios Psicologicos Y del Desarrollo, C.S.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CLINICA DE SERVICIOS PSICOLOGICOS Y DEL DESARROLLO, C.S.P.

Practice address

2045 Ave Pedro Albizu Campos Ste 2
Aguadilla, PR 00603

Phone

(939) 339-1402

Fax

(866) 241-8068

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Grisselle Cordero Mendez, PHDNPI 1023245735

Title

President

Phone

(939) 339-1402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

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

• Grisselle Cordero Mendez, PH.D.

  • Clinical Psychologist
  • Aguadilla, PR
  • NPI 1023245735
  Medicare reassignment NPD Authorized official
• Idania Liz Arroyo Perez, PH.D.

  • Clinical Psychologist
  • Aguadilla, PR
  • NPI 1356633002
  Medicare reassignment NPD
• Zamary Ivelisse Figueroa, PSYD

  • Clinical Psychologist
  • Aguadilla, PR
  • NPI 1255940086
  NPD

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1063853505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 AVE PEDRO ALBIZU CAMPOS STE 2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "939-339-1402",
            "fax_number": "866-241-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 AVE PEDRO ALBIZU CAMPOS STE 2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "939-339-1402",
            "fax_number": "866-241-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SERVICIOS PSICOLOGICOS Y DEL DESARROLLO, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "CORDERO MENDEZ",
        "authorized_official_first_name": "GRISSELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-339-1402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.