Individual provider Active NPI

Aracelys Astacio Ruiz, PSYD

  • Clinical Psychologist
  • Anasco, PR
National Provider Identifier
1215307996
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3978 Issued in PR
Practice address
Valley Hills Professional Center
Local #5 Carr 402 KM 2.9
Anasco, PR 00610
Phone
(787) 400-5484
NPI assigned
Oct 6, 2015
Last updated
Jul 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3978 PR Primary
Counseling Psychologist 103TC1900X 3978 PR

Addresses

Primary practice location

Valley Hills Professional Center
Local #5 Carr 402 KM 2.9
Anasco, PR 00610

Mailing address

Urb Valle Real
Calle Isabel 25002
Anasco, PR 00610
Phone (787) 673-0685

Other practice location 1

Carr 110 KM 23.5 Bo Ceiba Baja
Aguadilla, PR 00603
Phone (787) 400-5484

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
I20220824003611 PR Practitioner - Clinical Psychologist 5890179808 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 110 KM 0 H
3 Bo Ceiba Baja
Aguadilla, PR 00603-9998
Phone (939) 438-5614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3978PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Astacio Psychological Clinic CurrentSince Jul 16, 2023 Accepting new patients

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1215307996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VALLE REAL",
            "address_2": "CALLE ISABEL 25002",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-673-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VALLEY HILLS PROFESSIONAL CENTER",
            "address_2": "LOCAL #5 CARR 402 KM 2.9",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-400-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 110 KM 23.5 BO CEIBA BAJA",
            "address_purpose": "LOCATION",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-400-5484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASTACIO RUIZ",
        "first_name": "ARACELYS",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3978",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.