Active NPI
Psyblum Psychological Service LLC
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1124987169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- PSYBLUM PSYCHOLOGICAL SERVICE LLC
- Practice address
- Ave Las America Edificio Porrata Pila 209
Ponce, PR 00717 - Phone
- (787) 999-9999
- NPI assigned
- Jan 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arielys Orengo, PSYD
- Title
- Propetaria
- Phone
- (787) 999-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
Ave Las America Edificio Porrata Pila 209
Ponce, PR 00717
Mailing address
Ave Las America Edificio Porrata Pila 209
Ponce, PR 00717
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Ponce, PR
- NPI 1891684239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768521600000",
"number": "1124987169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE LAS AMERICA EDIFICIO PORRATA PILA 209",
"city": "PONCE",
"state": "PR",
"postal_code": "00717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE LAS AMERICA EDIFICIO PORRATA PILA 209",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-999-9999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYBLUM PSYCHOLOGICAL SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-16",
"last_updated": "2026-01-16",
"certification_date": "2026-01-13",
"status": "A",
"authorized_official_last_name": "ORENGO",
"authorized_official_first_name": "ARIELYS",
"authorized_official_title_or_position": "PROPETARIA",
"authorized_official_telephone_number": "787-999-9999",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc
- Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc.
- Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc.
- Project Medical Supply Inc
- Psicsur
- Psyche, Servicios Psicologicos
- Psychiatrics PSC
- Psymed Clinic, PSC
- Alianis Puebla de Bernardo
- Rigoberto Puente, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.