Organization Active NPI

Psyblum Psychological Service LLC

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1124987169
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Jan 16, 2026

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.