Lisandra Gonzalez Ramos, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4557 Issued in PR

Practice address

Urb. Flamingo Terrace
A7 Marginal Carr167
Bayamon, PR 00957

Phone

(879) 813-0377

NPI assigned

Jan 14, 2013

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mantis Wellness Center LLC

  • Clinical Psychologist
  • Bayamon, PR
  • NPI 1972189298
  Medicare reassignment NPD
• New Health Med Group Inc

  • Clinical Psychologist
  • Carolina, PR
  • NPI 1295919231
  NPD
• Grupo Sepi LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayamon, PR
  • NPI 1336546233
  NPD (past)

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1114264926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB FLAMINGO TERRACE A7 MARG 167",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-981-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. FLAMINGO TERRACE",
            "address_2": "A7 MARGINAL CARR167",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "879-813-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RAMOS",
        "first_name": "LISANDRA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2021-04-05",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSICOLOGA",
            "identifier": "4557",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114264926",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgardo Gonzalez Morales, M.D.
• Maria De Los a. Gonzalez Morales, PSY M.
• Katiushka Gonzalez Moro
• Wanda I Gonzalez Otero
• Esthermari Gonzalez Polanco, MD
• Francis M Gonzalez Reyes, PSY.D
• Isamar Gonzalez Rivera, MS-SLP
• Rosbel Gonzalez Rivera, MD
• Isuanet Gonzalez Rodriguez, MD
• Nestor M Gonzalez Rodriguez, M.D.

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.

Verify at the official NPI Registry.