NPIMap

Organization Active NPI

Puerto Ricon Clinical and Forensic Psychological Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayamon, PR
National Provider Identifier
1255669974
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PUERTO RICON CLINICAL AND FORENSIC PSYCHOLOGICAL SERVICES INC.
Practice address
CB6 Calle Eucalipto
Riohondo III,
Bayamon, PR 00961-3422
Phone
(787) 384-4013
Fax
(787) 785-3985
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Fernando MedinaNPI 1669561718
Title
President
Phone
(787) 384-4013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

CB6 Calle Eucalipto
Riohondo III,
Bayamon, PR 00961-3422

Mailing address

CB-6, Calle Eucaliptos
Riohondo III
Bayamon, PR 00961
Phone (787) 384-4013

National Provider Directory

National Provider Directory
Tax ID family
PR Clinical and Forensic Psychological Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1255669974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CB-6, CALLE EUCALIPTOS",
            "address_2": "RIOHONDO III",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-384-4013",
            "fax_number": "787-785-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CB6 CALLE EUCALIPTO",
            "address_2": "RIOHONDO III,",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613422",
            "telephone_number": "787-384-4013",
            "fax_number": "787-785-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICON CLINICAL AND FORENSIC PSYCHOLOGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-384-4013",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.