NPIMap

Organization Active NPI

East New Dawn Psychotherapy, LLC

  • Counseling Psychologist
  • Humacao, PR
National Provider Identifier
1104649011
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
EAST NEW DAWN PSYCHOTHERAPY, LLC
Practice address
126 Calle Cruz Ortiz Stella S
Humacao, PR 00791-3727
Phone
(787) 850-4720
Fax
(787) 561-7464
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Ricardo Cruz Morales Sr.NPI 1396188462
Title
M.Psy
Phone
(787) 857-4720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

126 Calle Cruz Ortiz Stella S
Humacao, PR 00791-3727

Mailing address

Urb. Verde Mar
991 Calle Zirconia
Humacao, PR 00741-2125
Phone (787) 857-4720

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1104649011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VERDE MAR",
            "address_2": "991 CALLE ZIRCONIA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007412125",
            "telephone_number": "787-857-4720",
            "fax_number": "787-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CALLE CRUZ ORTIZ STELLA S",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913727",
            "telephone_number": "787-850-4720",
            "fax_number": "787-561-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST NEW DAWN PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ MORALES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "M.PSY",
        "authorized_official_telephone_number": "787-857-4720",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.