Laura Johanna Colon, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2738 Issued in PR

Practice address

Legacy Office Park
Suite 102
Coto Laurel, PR 00780-0000

Phone

(787) 603-0408

Fax

(787) 841-5607

NPI assigned

Mar 19, 2007

Last updated

Oct 1, 2014By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica Armonia LLC

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1861353062
  Medicare reassignment NPD Authorized official
• Community Cornerstones Inc

  dba Community Cornerstone of Puerto Rico

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1578658647
  NPD (past)
• Prospective Psychiatry Group, PSC

  • Psychiatry Physician
  • Mayaguez, PR
  • NPI 1023386026
  NPD (past)
• Psy Clinic LLC

  dba Psy Clinic

  • Clinic/Center
  • Coto Laurel, PR
  • NPI 1366930133
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1144345430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CALLE QUINTA REAL",
            "address_2": "URB. CAMINO REAL",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959308",
            "telephone_number": "787-603-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEGACY OFFICE PARK",
            "address_2": "SUITE 102",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800000",
            "telephone_number": "787-603-0408",
            "fax_number": "787-841-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "LAURA",
        "middle_name": "JOHANNA",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica de Fisiatria Neuromuscular de Ponce, C.S.P.
• Clinica Familiar Coto Laurel Inc
• Cognitium, LLC
• Milagros C Colon Renovales, RPH
• Lennis Nereida Colon Rivera
• Consultorio Oto CCC PSC
• Vivianette Crespo Rivera
• Jose R Cruz Cestero, M.D
• Pablo Jose Cruz Lopez, M.D.
• Maria Fatima Cruz

• Clinical Psychologist in Coto Laurel, PR
• Providers in Coto Laurel, 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 Oct 1, 2014; 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.