Nova Therapy, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3466 Issued in PR

Legal business name

NOVA THERAPY, INC.

Practice address

2231 Paseo Amapola
Urb Levitown
Toa Baja, PR 00949-4310

Phone

(787) 674-4283

NPI assigned

Aug 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Rafael D Nieves-Rivera

Title

President

Phone

(787) 674-4283

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408233600000",
    "number": "1225437189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 PASEO AMAPOLA",
            "address_2": "URB LEVITOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494310",
            "telephone_number": "787-674-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 PASEO AMAPOLA",
            "address_2": "URB LEVITOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494310",
            "telephone_number": "787-674-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-17",
        "last_updated": "2014-08-17",
        "status": "A",
        "authorized_official_last_name": "NIEVES-RIVERA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-674-4283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "3466",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.