Active NPI
Lilliam Pabon Nieves
- Clinical Psychologist
- Bayamon, PR
National Provider Identifier
1174099378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6105
- Practice address
- Urb. Santa Juanita
L1 Calle 37
Bayamon, PR 00956-4612 - Phone
- (787) 669-0294
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6105 | PR | Primary |
Addresses
Primary practice location
Urb. Santa Juanita
L1 Calle 37
Bayamon, PR 00956-4612
Mailing address
Urb. Madelaine
L15 Calle Topacio
Toa Alta, PR 00953-3555
Phone (787) 669-0294
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250626002937 | PR | Order and Referring Only - Clinical Psychologist | 4789196460 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
361 Calle del Parque
Apt 4D
San Juan, PR 00912
L15 Calle Topacio
Toa Alta, PR 00953
Urb Santa Juanita
L1 Calle 37
Bayamon, PR 00956-4612
Phone (787) 669-0294
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6105 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1174099378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. MADELAINE",
"address_2": "L15 CALLE TOPACIO",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009533555",
"telephone_number": "787-669-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. SANTA JUANITA",
"address_2": "L1 CALLE 37",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564612",
"telephone_number": "787-669-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON NIEVES",
"first_name": "LILLIAM",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
- Luis E Oyola, MSW
- P R Hematology Oncology Group Inc
- P R Hematology Oncology Group Inc
- P.R. Clinical and Forensic Psychological Services Inc.
- Jennifer Pabon Crespo, MD
- Camille Pabon Suarez, THL
- Marilu Pacheco Cuadrado
- Ianira Marie Pacheco Otero
- Jounex Nicole Pacheco Perez, MD
- Luis Armando Pacheco Perez, D.M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.