Individual provider Active NPI

Saryvette Maldonado, LCDA

  • Counseling Psychologist
  • Bayamon, PR
National Provider Identifier
1093388753
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7015 Issued in PR
Practice address
Cond Riverside Plaza Apt 10F
Calle Sta Cruz 74
Bayamon, PR 00961-7069
Phone
(787) 310-5328
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 7015 PR Primary

Addresses

Primary practice location

Cond Riverside Plaza Apt 10F
Calle Sta Cruz 74
Bayamon, PR 00961-7069

Mailing address

Cond Riverside Plaza Apt 10F
Calle Sta Cruz 74
Bayamon, PR 00961-7069
Phone (787) 310-5328

Other identifiers 1

IdentifierTypeStateIssuer
4444762OtherPRDRIVER ID

Other names 1

  • Saryvette Maldonado Former name

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

LicenseStateTypeSpecialty
7015PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1093388753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND RIVERSIDE PLAZA APT 10F",
            "address_2": "CALLE STA CRUZ 74",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617069",
            "telephone_number": "787-310-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND RIVERSIDE PLAZA APT 10F",
            "address_2": "CALLE STA CRUZ 74",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617069",
            "telephone_number": "787-310-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "SARYVETTE",
        "credential": "LCDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "7015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER ID",
            "identifier": "4444762",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARYVETTE",
            "last_name": "MALDONADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.