Active NPI
Glenda Colon, M.T.S.
- Social Worker
- Bayamon, PR
National Provider Identifier
1194976522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9639
- Practice address
- Centro de Salud Mental de Bayamon
Aptdo 4258 Bayamon Gardens Station
Bayamon, PR 00958 - Phone
- (787) 786-7373
- NPI assigned
- Oct 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9639 | PR | Primary |
Addresses
Primary practice location
Centro de Salud Mental de Bayamon
Aptdo 4258 Bayamon Gardens Station
Bayamon, PR 00958
Mailing address
Urb Santa Rosa Calle 20
BLQ 25 Num 20
Bayamon, PR 00959-6555
Phone (787) 448-3156
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 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
C17 Calle Marginal
Bayamon, PR 00961
C17 Calle Marginal
Bayamon, PR 00961-6706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9639 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Foundation of Puerto Rico, Inc. | Current | Accepting new patients | |
| Community Health Foundation of Puerto Rico, Inc. | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Bayamon, PR
- NPI 1881016020
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bayamon, PR
- NPI 1114626991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1194976522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB SANTA ROSA CALLE 20",
"address_2": "BLQ 25 NUM 20",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009596555",
"telephone_number": "787-448-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO DE SALUD MENTAL DE BAYAMON",
"address_2": "APTDO 4258 BAYAMON GARDENS STATION",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00958",
"telephone_number": "787-786-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "GLENDA",
"credential": "M.T.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "9639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.