Active NPI
Lizzette Marie Mendez, PSY D
- Clinical Psychologist
- Guaynabo, PR
National Provider Identifier
1104457449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6512
- Practice address
- Calle Rivera Edif. Pineiro 20
Guaynabo, PR 00969 - Phone
- (939) 218-6699
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6512 | PR | Primary |
Addresses
Primary practice location
Calle Rivera Edif. Pineiro 20
Guaynabo, PR 00969
Mailing address
5 Cond Metromonte Apt 149
Carolina, PR 00987-7317
Phone (939) 218-6696
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6512 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1104457449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COND METROMONTE APT 149",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009877317",
"telephone_number": "939-218-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE RIVERA EDIF. PINEIRO 20",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "939-218-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "LIZZETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.