Desiree M Betancourt Vincenty, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2940 Issued in PR

Practice address

871 La Torre Building
Carr 876 KM 2.3 Urb. Lourdes
Trujillo Alto, PR 00976-3813

Phone

(787) 391-5660

NPI assigned

Mar 3, 2008

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

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.

• Endomedicine LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Trujillo Alto, PR
  • NPI 1003541467
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1083884357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009770364",
            "telephone_number": "787-391-5660",
            "fax_number": "787-293-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 LA TORRE BUILDING",
            "address_2": "CARR 876 KM 2.3 URB. LOURDES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763813",
            "telephone_number": "787-391-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT VINCENTY",
        "first_name": "DESIREE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39891400",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balance and Vestibular Rehab, LLC
• Huascar A Barros Burgos, MD
• Bay Val Corporation
• Karla Bernardi
• Amanda Betancourt Soto
• Diana Betancourt-Aleman, MD
• Christian Betancourt Sr., BSN
• Quediane Betancourt
• Jenny Ruth Bidot, ATOL
• Frances Myrel Bigas, D.C.

• Clinical Psychologist in Trujillo Alto, PR
• Providers in Trujillo Alto, 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 Mar 4, 2025; 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.