Individual provider Active NPI

Ivette Baerga, PSYD

  • Clinical Psychologist
  • Guayama, PR
National Provider Identifier
1194037671
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8103 Issued in PR
Practice address
Calle Marginal 706
Fuente Town Center Local 221 224
Guayama, PR 00784-6045
Phone
(787) 704-0705
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10399 PR
Clinical Psychologist 103TC0700X 8103 PR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

Calle Marginal 706
Fuente Town Center Local 221 224
Guayama, PR 00784-6045

Mailing address

223 Calle Perla
Urbanizacion Estancias
Santa Isabel, PR 00757-2092
Phone (787) 340-1815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601002312 PR Practitioner - Clinical Social Worker 8426479304 Reassigns benefits to 1 organization
I20250908004300 PR Practitioner - Clinical Psychologist 8426479304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10399PRMDPharmacy Technician
8103PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Mar 1, 2020 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Mar 1, 2020 Accepting new patients
Inspira Mental Health Management PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

223 Calle Perla
Santa Isabel, PR 00757

PO Box
Caguas, PR 00726

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1194037671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CALLE PERLA",
            "address_2": "URBANIZACION ESTANCIAS",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572092",
            "telephone_number": "787-340-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARGINAL 706",
            "address_2": "FUENTE TOWN CENTER LOCAL 221 224",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846045",
            "telephone_number": "787-704-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERGA",
        "first_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10399",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8103",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.