Active NPI
Orlando Emanuel De Jesus Rosario, PSYD
- Clinical Psychologist
- Bayamon, PR
National Provider Identifier
1104554005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7339
- Practice address
- Urb. Cana, PP-14 Calle 5
Bayamon, PR 00957 - Phone
- (787) 944-4433
- NPI assigned
- Aug 10, 2022
- Sex
- Male
- 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 | 7339 | PR | Primary |
Addresses
Primary practice location
Urb. Cana, PP-14 Calle 5
Bayamon, PR 00957
Mailing address
Urb Bayamon Gardens Calle Everarda GG18
Bayamon, PR 00957-2553
Phone (787) 423-7018
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Brains Corp. | Single Specialty | Current | Accepting new patients |
| Escucha Clinica, LLC | Clinical | Past | Accepting new patients |
Locations
PP14 Calle 5
Bayamon, PR 00957
Phone (787) 944-4433
Organizations & group practices 2
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.
-
- Speech/Language/Hearing Specialist/Technologist
- Bayamon, PR
- NPI 1013264548
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Juan, PR
- NPI 1750997862
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1104554005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB BAYAMON GARDENS CALLE EVERARDA GG18",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009572553",
"telephone_number": "787-423-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. CANA, PP-14 CALLE 5",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-944-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS ROSARIO",
"first_name": "ORLANDO",
"middle_name": "EMANUEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Brian Iran De Jesus Dipre, MD
- Ricardo De Jesus Gomez, M.D.
- Tania Marie De Jesus Laboy, CD, CBE
- Zuleika De Jesus Rodriguez
- Kevin De Jesus Rosa, PHARMD
- Michael Gabriel De Jesus Soto
- Demy A De Jesus, PH D
- Gabriel De Jesus, PSY.D.
- De la Cruz Miranda Orthopedic Services PSC
- Antonio A. De la Cruz Miranda, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.