Kids in Growth Therapy Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

3849 Issued in PR

Legal business name

KIDS IN GROWTH THERAPY INC

Practice address

Ave Arterial Hostos
Apartamento N102
San Juan, PR 00918-1451

Phone

(939) 642-5607

NPI assigned

Aug 1, 2016

Last updated

Aug 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Eunice N Velez, LICENSE

Title

Terapista del Habla Y Lenguaje

Phone

(939) 942-5607

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1144773631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "BAJADERO",
            "state": "PR",
            "postal_code": "006161205",
            "telephone_number": "939-642-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ARTERIAL HOSTOS",
            "address_2": "APARTAMENTO N102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181451",
            "telephone_number": "939-642-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS IN GROWTH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "TERAPISTA DEL HABLA Y LENGUAJE",
        "authorized_official_telephone_number": "939-942-5607",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LICENSE"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PR",
            "license": "3849",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "3849",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PR",
            "license": "3849",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "4232",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "971",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Cognitive & Behavioral Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.