Ivelisse Padilla Valentin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7223 Issued in PR

Practice address

5 Calle Barbosa
Isabela, PR 00662-2956

Phone

(787) 604-3550

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1083373971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE BARBOSA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622956",
            "telephone_number": "787-604-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Metro Medical Center",
            "address_2": "Suite A801 Torre A, 995 PR-2",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-604-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA VALENTIN",
        "first_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathasha L. Ortega
• Mariselis Ortiz Maldonado, M.S.
• Daianna L Ortiz, PSY.D.
• Sally L Otero Class, MD
• Tamira E. Pacheco
• Olga Maria Padilla, MD
• Emmanuel Padua Borrero, MSSP
• Palm Paradise LLC
• Parvel Medical Supplies, Inc.
• Sarai Pellot Rosa

• Clinical Psychologist in Isabela, PR
• Providers in Isabela, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.