Individual provider Active NPI

Angie Michelle Sanchez-Pagan, MA

  • School Psychologist
  • Guaynabo, PR
National Provider Identifier
1255009494
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
6169 Issued in PR
Practice address
110 Calle Carazo
Guaynabo, PR 00969-5717
Phone
(787) 790-1583
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 6169 PR Primary

Addresses

Primary practice location

110 Calle Carazo
Guaynabo, PR 00969-5717

Mailing address

1501 Paseo Degetau
Caguas, PR 00727-2909
Phone (787) 477-4957

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angie@clubdesarrollo.com Direct CLUB DEL DESARROLLO INTEGRAL, PSC

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
6169PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1255009494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PASEO DEGETAU",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272909",
            "telephone_number": "787-477-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695717",
            "telephone_number": "787-790-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-PAGAN",
        "first_name": "ANGIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "6169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angie@clubdesarrollo.com",
            "affiliation": "Y",
            "endpointDescription": "business email address affiliated to the organization in which you can communicate directly with the healthcare provider",
            "affiliationName": "CLUB DEL DESARROLLO INTEGRAL, PSC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct messaging",
            "address_1": "110 Calle Carazo",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009695717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.