Individual provider Active NPI

Joselyd Hernandez Velazquez, PH.D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1104166768
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4128 Issued in PR
Practice address
Urb. la Estancia 148 Via Pintada
Caguas, PR 00727-0072
Phone
(787) 299-3841
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4128 PR
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4128 PR Primary

Addresses

Primary practice location

Urb. la Estancia 148 Via Pintada
Caguas, PR 00727-0072

Mailing address

Urb. la Estancia 148 Via Pintada
Caguas, PR 00727
Phone (787) 299-3841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4128PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
J & R Therapy Center.Corp Single Specialty PastSince Feb 29, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1104166768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA ESTANCIA 148 VIA PINTADA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-299-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LA ESTANCIA 148 VIA PINTADA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007270072",
            "telephone_number": "787-299-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ VELAZQUEZ",
        "first_name": "JOSELYD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "4128",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.