Individual provider Active NPI

Marcela V. Ros Escalante, PSY.D

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1215236922
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3951 Issued in PR
Practice address
107 Calle Ortegon
Edif. Caparra Gallery Suite 312
Guaynabo, PR 00969
Phone
(787) 226-8137
NPI assigned
Mar 21, 2011
Last updated
Mar 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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 3951 PR Primary

Addresses

Primary practice location

107 Calle Ortegon
Edif. Caparra Gallery Suite 312
Guaynabo, PR 00969

Mailing address

800 Calle Piedras Negras
Apt. 3302
San Juan, PR 00926-4731
Phone (787) 226-8137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3951PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1215236922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CALLE PIEDRAS NEGRAS",
            "address_2": "APT. 3302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264731",
            "telephone_number": "787-226-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CALLE ORTEGON",
            "address_2": "EDIF. CAPARRA GALLERY SUITE 312",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-226-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROS ESCALANTE",
        "first_name": "MARCELA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.