Individual provider Active NPI

Yolanda Nunez Caballero, PSY D

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1205901006
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2572 Issued in PR
Practice address
Ave. Munoz Marin W 11
Urb. Mariolga
Caguas, PR 00725-0000
Phone
(787) 360-6977
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2572 PR Primary

Addresses

Primary practice location

Ave. Munoz Marin W 11
Urb. Mariolga
Caguas, PR 00725-0000

Mailing address

327 Calle Cordova
Urb. la Meseta
Caguas, PR 00725-7588
Phone (787) 360-6977

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
I20070111000426 PR Practitioner - Clinical Psychologist 3678573821 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Luis Munoz Marin
11 Urb Mariolga
Caguas, PR 00725-6463
Phone (787) 518-7410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2572PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1205901006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CALLE CORDOVA",
            "address_2": "URB. LA MESETA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257588",
            "telephone_number": "787-360-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. MUNOZ MARIN W 11",
            "address_2": "URB. MARIOLGA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250000",
            "telephone_number": "787-360-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ CABALLERO",
        "first_name": "YOLANDA",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.