Individual provider Active NPI

Orlando Emanuel De Jesus Rosario, PSYD

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1104554005
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7339 Issued in PR
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

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Brains Corp. Single Specialty CurrentSince Aug 14, 2022 Accepting new patients
Escucha Clinica, LLC Clinical PastSince Nov 13, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.