Individual provider Active NPI

Jaira Marie Almodovar Medina, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1154975688
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8976 Issued in PR
Practice address
35 Calle Mayor
Ponce, PR 00730-3726
Phone
(787) 844-3077
NPI assigned
Aug 1, 2019
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17286 PR
Clinical Psychologist 103TC0700X 8976 PR Primary

Addresses

Primary practice location

35 Calle Mayor
Ponce, PR 00730-3726

Mailing address

35 Calle Mayor
Ponce, PR 00730-3726
Phone (787) 844-3077

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251031004191 PR Practitioner - Clinical Social Worker 7911496526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8976PRMDClinical Psychologist
17286PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
N & N Psychological Services CurrentSince Oct 21, 2025 Accepting new patients
Centro Holistico Bienestar Mental PastSince Sep 14, 2025 Accepting new patients

Locations

35 Calle Mayor
Ponce, PR 00730
Phone (787) 365-1260

Organizations & group practices 2

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1154975688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303726",
            "telephone_number": "787-844-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303726",
            "telephone_number": "787-844-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMODOVAR MEDINA",
        "first_name": "JAIRA",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17286",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.