Jaira Marie Almodovar Medina, PSYD
Individual provider Active NPI Clinical Psychologist · Ponce, PR
NPI 1154975688 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1154975688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 8976 (PR)
- Practice address
- 35 Calle Mayor
Ponce, PR 00730-3726 - Phone
- (787) 844-3077
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
35 Calle Mayor
Ponce, PR 00730
PO Box
Ponce, PR 00732
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251031004191 | PR | Practitioner - Clinical Social Worker | 7911496526 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17286 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N & N Psychological Services | Current |
Accepting new patients | |
| Centro Holistico Bienestar Mental | Past |
Accepting new patients |
Locations
35 Calle Mayor
Ponce, PR 00730
Phone (787) 844-3077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17286 | PR | |
| Clinical Psychologist | 103TC0700X | 8976 | PR | Yes |
Addresses
Primary practice location
35 Calle Mayor
Ponce, PR 00730-3726
Mailing address
35 Calle Mayor
Ponce, PR 00730-3726
Phone (787) 844-3077
Other providers in Ponce, PR
- Ilsia Alicea-Pou
- Lourdes Alicea-Rodriguez
- Zoe Alicea
- Alivia Infusion Services LLC
- Jorge Almodovar Capielo
- Evelyn S Almodovar Puantong
- William Almodovar-Sanchez
- Ivan Andres Almodovar
- Nelly A Almodovar
- Nicole Juliane Almodovar
All providers in Ponce, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.