Active NPI
Carmen Yolanda Tirado, PSYD.
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1174826382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3822
- Practice address
- 251 Calle Pilon
Urb. Borinquen Valley
Caguas, PR 00725-9825 - Phone
- (787) 557-0015
- NPI assigned
- Dec 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3822 | PR | Primary |
| Clinical Social Worker | 1041C0700X | 4196 | PR |
Addresses
Primary practice location
251 Calle Pilon
Urb. Borinquen Valley
Caguas, PR 00725-9825
Mailing address
251 Calle Pilon
Urb. Borinquen Valley
Caguas, PR 00725-9825
Phone (787) 557-0015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3822 | PR | MD | Clinical Psychologist |
| 4196 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1174826382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 CALLE PILON",
"address_2": "URB. BORINQUEN VALLEY",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007259825",
"telephone_number": "787-557-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 CALLE PILON",
"address_2": "URB. BORINQUEN VALLEY",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007259825",
"telephone_number": "787-557-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRADO",
"first_name": "CARMEN",
"middle_name": "YOLANDA",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-09",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3822",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "4196",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.