Individual provider Active NPI

Madelyn Ortiz Brito, MA, OT/L

  • Counseling Psychologist
  • Humacao, PR
National Provider Identifier
1225358781
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4024 Issued in PR
Practice address
Bo. Candelero Abajo; Aniceto Cruz
Calle Ruperto Burgos # 206
Humacao, PR 00791-7412
Phone
(757) 324-9392
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1006 PR
Counseling Psychologist 103TC1900X 4024 PR Primary

Addresses

Primary practice location

Bo. Candelero Abajo; Aniceto Cruz
Calle Ruperto Burgos # 206
Humacao, PR 00791-7412

Mailing address

HC 12 Box 13024
Humacao, PR 00791-7412
Phone (757) 324-9392

Other practice location 1

HC 4 Box 4093
Road #3 Bo. Pasto Viejo Sec. Bajanda
Humacao, PR 00791-9442
Phone (787) 635-0364

Other practice location 2

2710 Ike St Trlr 22
Chesapeake, VA 23324
Phone (787) 635-0364

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://mail.google.com/mail/u/0/#inbox

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1006PRMDOccupational Therapist
4024PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1225358781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 12 BOX 13024",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007917412",
            "telephone_number": "757-324-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. CANDELERO ABAJO; ANICETO CRUZ",
            "address_2": "CALLE RUPERTO BURGOS # 206",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007917412",
            "telephone_number": "757-324-9392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 4 Box 4093",
            "address_2": "Road #3 Bo. Pasto Viejo Sec. Bajanda",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007919442",
            "country_code": "US",
            "telephone_number": "787-635-0364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Ike St Trlr 22",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "23324",
            "country_code": "US",
            "telephone_number": "787-635-0364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ BRITO",
        "first_name": "MADELYN",
        "credential": "MA, OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1006",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "4024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mail.google.com/mail/u/0/#inbox",
            "affiliation": "N",
            "address_1": "Candelero Abajo; Aniceto Cruz",
            "address_2": "Calle Ruperto Burgos # 206",
            "city": "Humacao",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.