Ashley Jailyn Vazquez Matias, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6714 Issued in PR

Practice address

Carr. 115 KM 19.2 Int
Aguada, PR 00602

Phone

(787) 667-3553

NPI assigned

Sep 23, 2020

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

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

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.

• Ashley Vazquez PSC

  • Clinical Psychologist
  • Aguada, PR
  • NPI 1942076104
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1124634209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 57 BOX 9400",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029828",
            "telephone_number": "787-667-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 115 KM 19.2 INT",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-667-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ MATIAS",
        "first_name": "ASHLEY",
        "middle_name": "JAILYN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Alberto Vargas-Resto, MPSY
• Ashley Marie Vargas, M.S. CCC-SLP
• Griselle Marie Vargas
• Valeria Vargas
• Yanira Perez Vargas, PSICOLOGA
• Abel Arnaldo Vazquez Roman, M.D.
• Stephanie Vazquez Ruiz, DC
• Cielo M Vazquez
• Enilanice Vazquez, MS-SLP
• Wilmelody Vazquez, PSYD

• Clinical Psychologist in Aguada, PR
• Providers in Aguada, 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 Sep 23, 2020; 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.