Astrid Noemi Gandarilla

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3759 Issued in PR

Practice address

Calle Marginal Ee 10 Urb. Villa Contessa
Local a 1ER Piso
Bayamon, PR 00959

Phone

(939) 945-8725

NPI assigned

Jul 2, 2018

Last updated

Nov 1, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Center for Advance Cognitive Studies LLC

  • Clinical Psychologist
  • Bayamon, PR
  • NPI 1619632189
  NPD Authorized official

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1164918272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F1 CALLE 13",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594829",
            "telephone_number": "787-533-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARGINAL EE 10 URB. VILLA CONTESSA",
            "address_2": "LOCAL A 1ER PISO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "939-945-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDARILLA",
        "first_name": "ASTRID",
        "middle_name": "NOEMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "2263",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galeria Radiologica Digital LLC (Galeria Radiologica)
• Chrystal Alejandra Galiano, MSW
• Antonio Jose Gallardo, MEDICAL DOCTOR
• Galope Anesthesia Services, PSC
• Cristal Nicole Gandara Aponte
• Alexis Garau Diaz
• Samuel Garau Diaz, MD
• Priscila Garau, M.D.
• Leidy Marie Garay Pagan
• Anette Garces Dominguez, M.D

• Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.