Active NPI
Jessenia Marie Fontanez, PSY.D.
- Clinical Psychologist
- Harlingen, TX
National Provider Identifier
1073264776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 007157
- Practice address
- 2106 Treasure Hills Blvd Apt 1107
Harlingen, TX 78550-8736 - Phone
- (956) 410-4985
- NPI assigned
- Jan 13, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 007157 | PR | Primary |
Addresses
Primary practice location
2106 Treasure Hills Blvd Apt 1107
Harlingen, TX 78550-8736
Mailing address
HC 5 Box 4952
Las Piedras, PR 00771-9644
Phone (956) 410-4985
Other practice location 1
HC 5 Box 4952
Las Piedras, PR 00771-9644
Phone (956) 410-4985
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Harlingen | Health Information Exchange (HIE) | Veteran Health Administration |
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 |
|---|---|---|---|
| 007157 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1073264776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 4952",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719644",
"telephone_number": "956-410-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 TREASURE HILLS BLVD APT 1107",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508736",
"telephone_number": "956-410-4985"
}
],
"practiceLocations": [
{
"address_1": "HC 5 Box 4952",
"address_purpose": "LOCATION",
"city": "Las Piedras",
"state": "PR",
"postal_code": "007719644",
"country_code": "US",
"telephone_number": "956-410-4985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONTANEZ",
"first_name": "JESSENIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-13",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "007157",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Harlingen",
"affiliation": "Y",
"affiliationName": "Veteran Health Administration",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2106 Treasure Hills Blvd Apt 1107",
"city": "Harlingen",
"state": "TX",
"country_code": "US",
"postal_code": "785508736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.