Individual provider Active NPI

Jose C Andrades, PHD

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1134473812
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1406 Issued in PR
Practice address
93-65 Calle 79
Bayamon, PR 00961-4405
Phone
(800) 981-0023
NPI assigned
Nov 2, 2012
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1406 PR Primary

Addresses

Primary practice location

93-65 Calle 79
Bayamon, PR 00961-4405

Mailing address

93-65 Calle 79
Bayamon, PR 00961-4405
Phone (800) 981-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Castro Lebron PSC Clinical CurrentSince Sep 12, 2018 Accepting new patients

Locations

168 Ave Barbosa
Catano, PR 00962
Phone (787) 788-4544

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1134473812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93-65 CALLE 79",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614405",
            "telephone_number": "800-981-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93-65 CALLE 79",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614405",
            "telephone_number": "800-981-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADES",
        "first_name": "JOSE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-02",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.