Clag Psychological Center & Consultants, CPS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2142 Issued in PR

Legal business name

CLAG PSYCHOLOGICAL CENTER & CONSULTANTS, CPS

Practice address

500 Carr 177
Suite 101
Bayamon, PR 00959-8913

Phone

(787) 789-1919

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Vimary Rodriguez, PSY.D

Title

President

Phone

(787) 789-1919

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093860488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7891",
            "address_2": "PMB 349",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009707891",
            "telephone_number": "787-789-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CARR 177",
            "address_2": "SUITE 101",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598913",
            "telephone_number": "787-789-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAG PSYCHOLOGICAL CENTER & CONSULTANTS, CPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VIMARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-789-1919",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bayamon, PR
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.