Integrated Psychological Services CSP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INTEGRATED PSYCHOLOGICAL SERVICES CSP

Doing business as

Psych Health Professionals

Practice address

201 Calle Gautier Benitez
Consolidated Medical Plaza Office 307a
Caguas, PR 00725-5527

Phone

(787) 961-3600

Fax

(787) 961-3601

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By 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

Dr. Diana Maria Rodriguez, PSYDNPI 1710243944

Title

President

Phone

(787) 961-3600

Specialties & licenses 1

Addresses

Other names 1

• Psych Health Professionals Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana Maria Rodriguez, PSYD

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1710243944
  Authorized official Same address or phone

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1154697456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA SUITE 012",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255527",
            "telephone_number": "787-961-3600",
            "fax_number": "787-961-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CALLE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA OFFICE 307A",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255527",
            "telephone_number": "787-961-3600",
            "fax_number": "787-961-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHOLOGICAL SERVICES CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-961-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psych Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intermed Emergency Services PSC
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• Intervenciones Creativas

• Clinical Psychologist in Caguas, PR
• Providers in Caguas, 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 Mar 30, 2012; 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.