Active NPI
Nelson Barrios Feliciano, PSICOLOGO
- Clinical Child & Adolescent Psychologist
- Carolina, PR
National Provider Identifier
1215030382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 1846
- Practice address
- 23-7 Ave Roberto Clemente
Carolina, PR 00985-5413 - Phone
- (787) 364-9688
- Fax
- (939) 697-6003
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1846 | PR | Primary |
Addresses
Primary practice location
23-7 Ave Roberto Clemente
Carolina, PR 00985-5413
Mailing address
1879 Calle Fermin Zedo
Urb Fair View
San Juan, PR 00926-7627
Phone (787) 364-9688
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219012 | Other | PR | PREFERRED HEALTH |
| 075181 | Other | PR | CRUZ AZUL |
| 2034 | Other | PR | HUMANA |
| 2249319 | Other | PR | CIGNA BEHAVIOR |
| 2356 | Other | PR | APS HEALTH CARE |
| 2357 | Other | PR | MEDICARE MUCHO MAS |
| 9766 | Other | PR | INT MEDICARD CARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610000276 | PR | Practitioner - Psychologist Billing Independently | 7810970142 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23 -7 Ave Roberto Clemente
Carolina, PR 00985-5413
Phone (787) 400-3606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1215030382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 CALLE FERMIN ZEDO",
"address_2": "URB FAIR VIEW",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009267627",
"telephone_number": "787-364-9688",
"fax_number": "939-697-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23-7 AVE ROBERTO CLEMENTE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009855413",
"telephone_number": "787-364-9688",
"fax_number": "939-697-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRIOS FELICIANO",
"first_name": "NELSON",
"name_prefix": "Dr.",
"credential": "PSICOLOGO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PR",
"license": "1846",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "219012",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "075181",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "2034",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIOR",
"identifier": "2249319",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS HEALTH CARE",
"identifier": "2356",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MUCHO MAS",
"identifier": "2357",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INT MEDICARD CARD",
"identifier": "9766",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.