Individual provider Active NPI

Lynoshka Shanice Jimenez Vega, PSYD

  • Clinical Psychologist
  • Aguada, PR
National Provider Identifier
1184355612
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9057 Issued in PR
Practice address
Bo Mal Paso. Car 416 KM 3.0
Aguada, PR 00602-9404
Phone
(939) 366-0360
NPI assigned
Jun 24, 2022
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9057 PR Primary

Addresses

Primary practice location

Bo Mal Paso. Car 416 KM 3.0
Aguada, PR 00602-9404

Mailing address

HC 61 Box 35243
Aguada, PR 00602-9404
Phone (939) 366-0360

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

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1184355612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 35243",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029404",
            "telephone_number": "939-366-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MAL PASO. CAR 416 KM 3.0",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029404",
            "telephone_number": "939-366-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ VEGA",
        "first_name": "LYNOSHKA",
        "middle_name": "SHANICE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "9057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.