Individual provider Active NPI

Militza Rosado Pellot, PSYD

  • Clinical Psychologist
  • Camuy, PR
National Provider Identifier
1245422385
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2905 Issued in PR
Practice address
Carr 2 KM 96.0 Bo Yeguada Suite 206
Camuy, PR 00627
Phone
(787) 374-0703
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2905 PR
Clinical Psychologist 103TC0700X 2905 PR Primary

Addresses

Primary practice location

Carr 2 KM 96.0 Bo Yeguada Suite 206
Camuy, PR 00627

Mailing address

HC 8 Box 45095
Aguadilla, PR 00603-9770
Phone (787) 374-0703

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
I20171229000275 PR Practitioner - Clinical Psychologist 8527326255 Practice locations: Camuy, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2905PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1245422385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 45095",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039770",
            "telephone_number": "787-374-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 96.0 BO YEGUADA SUITE 206",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-374-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO PELLOT",
        "first_name": "MILITZA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "2905",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.