Active NPI
Ivette Baerga, PSYD
- Clinical Psychologist
- Guayama, PR
National Provider Identifier
1194037671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8103
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10399 | PR | MD | Pharmacy Technician |
| 8103 | PR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp | Current | Accepting new patients | |
| Inspira Mental Health Management | Past | 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.
-
- Clinic/Center
- Ponce, PR
- NPI 1548084635
-
- Adult Mental Health Clinic/Center
- Guayama, PR
- NPI 1578065116
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Guayama, PR
- NPI 1114388691
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
- Carmen M Aponte Rodriguez, MA
- Aps Clinics of Puerto Rico, Inc.
- Asilo de Envejecientes Ayuda de Amor
- Atlantis Health Care Group Puerto Rico, Inc.
- Juan Neftali Aulet, M.D.
- Kamelia Lydmar Baez Solier
- Kalia Soleivy Baez, MSW
- Harold William Bastian Vega, MD
- Harold S Bastian
- Geraldine Enid Batista Irizarry, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.