Mercado Roman Psychology Group PSC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MERCADO ROMAN PSYCHOLOGY GROUP PSC

Practice address

Carr 119 KM 5.5 Interior, Bo. Puente
Camuy, PR 00627-0062

Phone

(787) 644-0743

NPI assigned

Mar 6, 2023

Last updated

Mar 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mailene Marie Roman Tejera, PSYDNPI 1356086482

Title

President

Phone

(787) 644-0743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mailene Marie Roman Tejera, PSYD

  • Clinical Psychologist
  • Camuy, PR
  • NPI 1356086482
  Medicare reassignment NPD Authorized official
• Brian Mercado Ruiz, PSYD

  • Clinical Psychologist
  • Camuy, PR
  • NPI 1700514221
  Medicare reassignment NPD
• Anangelys Roman-Perez, PSY.D.

  • Clinical Psychologist
  • Aguadilla, PR
  • NPI 1063224137
  Medicare reassignment NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1093415390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CALLE HELIO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006128866",
            "telephone_number": "787-644-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 119 KM 5.5 INTERIOR, BO. PUENTE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270062",
            "telephone_number": "787-644-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO ROMAN PSYCHOLOGY GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "ROMAN TEJERA",
        "authorized_official_first_name": "MAILENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-644-0743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mendez
• Itamar Mendez, OTR/L
• Meraki Clinica Quiropracitca
• Xiomara Mercado Moya, PHL
• Amanda Zoe Mercado Rojas, MS
• Brian Mercado Ruiz, PSYD
• Luz Omayra Mercado, MSW
• Mildred Machado Morell (Laboratorio San Jose)
• Mme Psychology LLC (Camuy Psychology Group)
• David Molina Gonzalez, GP

• Psychologist in Camuy, PR
• Providers in Camuy, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.