Individual provider Active NPI

Anays Fernandez Gonzalez, PSY.D

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1073200358
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6486 Issued in PR
Practice address
58 Calle Venus
Carolina, PR 00979-4806
Phone
(787) 376-5082
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6486 PR Primary
Counseling Psychologist 103TC1900X 6486 PR

Addresses

Primary practice location

58 Calle Venus
Carolina, PR 00979-4806

Mailing address

58 Calle Venus
Urb. Atlantic View
Carolina, PR 00979-4806
Phone (787) 376-5082

Other practice location 1

571 Calle Lodi
San Juan, PR 00924-3800
Phone (787) 376-5082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251224002579 PR Practitioner - Clinical Psychologist 6901391192 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

605 Edf San Alberto Ave Condado
Suite 619
San Juan, PR 00907-3823

Urb Atlantic View Calle Venus
Suite 58
Carolina, PR 00979-4806

Urb Luarca Calle Lodi
Suite 571
San Juan, PR 00924-0000
Phone (787) 376-5082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6486PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1073200358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CALLE VENUS",
            "address_2": "URB. ATLANTIC VIEW",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794806",
            "telephone_number": "787-376-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CALLE VENUS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794806",
            "telephone_number": "787-376-5082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 Calle Lodi",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009243800",
            "country_code": "US",
            "telephone_number": "787-376-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ GONZALEZ",
        "first_name": "ANAYS",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6486",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.