Glendaliz Feliciano Misla, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5794 Issued in PR

Practice address

3361 Ave Militar
Isabela, PR 00662-4082

Phone

(787) 605-2236

NPI assigned

Mar 13, 2017

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Centro Terapeutico Glorimar Vega Inc.

  • Clinic/Center
  • Camuy, PR
  • NPI 1093234544
  NPD

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1194266916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 AVE NOEL ESTRADA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623229",
            "telephone_number": "787-605-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624082",
            "telephone_number": "787-605-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO MISLA",
        "first_name": "GLENDALIZ",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Moriah, Inc.
• Farmacia Novavida LLC
• Farmacia Villamar LLC
• Fast Care Services LLC
• Fransheska M Feliciano Cruz, PHARMD
• Jessica Feliciano Rosado
• Esther Marie Feliciano Velez, MSC
• Anabelle Feliciano, LND
• Dianette Feliciano
• Eileen Feliciano

• Clinical Psychologist in Isabela, PR
• Providers in Isabela, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.