Yanellie Santiago Rivera, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7631 Issued in PR

Practice address

Carretera PR- 719 KM 0.1
Bo. Helechal Via Los Torcheros
Barranquitas, PR 00794-0079

Phone

(787) 517-5430

NPI assigned

Dec 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psique Clinica de Salud Mental L.L.C.

  • Clinical Psychologist
  • Barranquitas, PR
  • NPI 1467141085
  NPD Authorized official

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1104537190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 2933",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007949481",
            "telephone_number": "787-517-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA PR- 719 KM 0.1",
            "address_2": "BO. HELECHAL VIA LOS TORCHEROS",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940079",
            "telephone_number": "787-517-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RIVERA",
        "first_name": "YANELLIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salud Integral En la Montana, Inc.
• Salud Integral En la Montana, Inc.
• Salud Integral En la Montana, Inc.
• Brendaliz Santaella Cruz, M.D.
• Ismarie Santiago Rivera
• Richard Santiago Sr., MSW
• Sonia M Santiago, PHD
• Servicios Medicos Primarios de Barranquitas, Inc
• Grisely Soto, O.D.
• Alondra Nicole Sullivan Flores

• Clinical Psychologist in Barranquitas, PR
• Providers in Barranquitas, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.