Individual provider Active NPI

Brenda Liz Melendez-Pagan, MSW, PSYD

  • Psychologist
  • Manati, PR
National Provider Identifier
1114209939
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9088 Issued in PR
Practice address
Carretera 685 KM 2.7
Tierras Nuevas
Manati, PR 00674
Phone
(787) 346-3560
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8142 PR
Psychologist 103T00000X 9088 PR Primary
Social Worker 104100000X 8142 PR

Addresses

Primary practice location

Carretera 685 KM 2.7
Tierras Nuevas
Manati, PR 00674

Mailing address

15 Calle Ariana
Barceloneta, PR 00617-3222
Phone (939) 429-7557

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250823000061 PR Practitioner - Clinical Social Worker 2668972787 Practice locations: Puerto Rico, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Calle Ariana
Barceloneta, PR 00617

Carretera 685 KM
7 Tierras Nuevas
Puerto Rico, PR 00674
Phone (939) 429-7557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9088PRMDPsychologist
8142PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1114209939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALLE ARIANA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006173222",
            "telephone_number": "939-429-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 685 KM 2.7",
            "address_2": "TIERRAS NUEVAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-346-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ-PAGAN",
        "first_name": "BRENDA",
        "middle_name": "LIZ",
        "name_prefix": "Mrs.",
        "credential": "MSW, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8142",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "9088",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "8142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.