Individual provider Active NPI

Jose Carrion-Baralt, PH.D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1114159167
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1807 Issued in PR
Practice address
422 Calle Caribe
Urb Floral Park
San Juan, PR 00917-3517
Phone
(787) 312-8254
NPI assigned
Aug 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1807 PR Primary

Addresses

Primary practice location

422 Calle Caribe
Urb Floral Park
San Juan, PR 00917-3517

Mailing address

422 Calle Caribe
Urb Floral Park
San Juan, PR 00917-3517
Phone (787) 312-8254

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1114159167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 CALLE CARIBE",
            "address_2": "URB FLORAL PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173517",
            "telephone_number": "787-312-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 CALLE CARIBE",
            "address_2": "URB FLORAL PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173517",
            "telephone_number": "787-312-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRION-BARALT",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.