Individual provider Active NPI

Vivian I Rodriguez Alicea, PSY.D

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1194346213
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005720 Issued in PR
Practice address
L 14 C Metro Plaza Caguas
Avenida Jose Garrido Villa Blanca Park
Caguas, PR 00725
Phone
(787) 415-3927
NPI assigned
Apr 29, 2020
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 005720 PR
Clinical Psychologist 103TC0700X 005720 PR Primary
Counseling Psychologist 103TC1900X 005720 PR

Addresses

Primary practice location

L 14 C Metro Plaza Caguas
Avenida Jose Garrido Villa Blanca Park
Caguas, PR 00725

Mailing address

329 Calle Paseo del Parque
Urb. El Valle
Caguas, PR 00725
Phone (787) 415-3927

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010004147 PR Practitioner - Clinical Psychologist 2860924156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005720PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Believe & Be Clinic LLC Psychologist CurrentSince Jul 23, 2024 Accepting new patients

Locations

G42 Ave Pino
Caguas, PR 00725
Phone (787) 565-1922

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1194346213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CALLE PASEO DEL PARQUE",
            "address_2": "URB. EL VALLE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-415-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L 14 C METRO PLAZA CAGUAS",
            "address_2": "AVENIDA JOSE GARRIDO VILLA BLANCA PARK",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-415-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ALICEA",
        "first_name": "VIVIAN",
        "middle_name": "I",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "005720",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "005720",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "005720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.