Individual provider Active NPI

Joanie Morales-Santiago, PSY. D.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1073731980
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1766 Issued in PR
Practice address
8133 Calle Concordia
Oficina 202
Ponce, PR 00717-1543
Phone
(787) 466-4287
NPI assigned
Apr 23, 2007
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1766 PR Primary

Addresses

Primary practice location

8133 Calle Concordia
Oficina 202
Ponce, PR 00717-1543

Mailing address

Urb Valle Alto
2304 Calle Loma
Ponce, PR 00730-4145
Phone (787) 702-3918

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
I20090626000180 PR Practitioner - Clinical Psychologist 9436200722 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8133 Calle Concordia
Ponce, PR 00717-1517
Phone (787) 466-4287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medic Coordination Past Accepting new patients
Centro de Psicologia Y Sanacion, LLC Clinical PastSince Dec 16, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1073731980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VALLE ALTO",
            "address_2": "2304 CALLE LOMA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304145",
            "telephone_number": "787-702-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 CALLE CONCORDIA",
            "address_2": "OFICINA 202",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171543",
            "telephone_number": "787-466-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-SANTIAGO",
        "first_name": "JOANIE",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.