Individual provider Active NPI

Geraline Noemi Vazquez Gonzalez, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1245124833
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8605 Issued in PR
Practice address
35 Calle Mayor
Ponce, PR 00730-3726
Phone
(787) 844-3077
NPI assigned
Jun 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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 8605 PR Primary

Addresses

Primary practice location

35 Calle Mayor
Ponce, PR 00730-3726

Mailing address

PO Box 8851
Ponce, PR 00732-8851
Phone (787) 844-3077

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
I20250623002037 PR Practitioner - Clinical Psychologist 3779095120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8605PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
N & N Psychological Services CurrentSince Jun 1, 2025 Accepting new patients
Centro Holistico Bienestar Mental PastSince Jun 1, 2025 Accepting new patients

Locations

35 Calle Mayor
Ponce, PR 00730
Phone (787) 844-3077

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1245124833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8851",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328851",
            "telephone_number": "787-844-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303726",
            "telephone_number": "787-844-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ GONZALEZ",
        "first_name": "GERALINE",
        "middle_name": "NOEMI",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.