Active NPI
Sheily M Torres Santiago, PSY. D
- Clinical Psychologist
- San Antonio, PR
National Provider Identifier
1265260160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8061
- Practice address
- 60401 PMB 46
Carr. 110 KM 29.2
San Antonio, PR 00690 - Phone
- (787) 600-0353
- NPI assigned
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8061 | PR | Primary |
Addresses
Primary practice location
60401 PMB 46
Carr. 110 KM 29.2
San Antonio, PR 00690
Mailing address
60401 PMB 46
Carr. 110 KM 29.2
San Antonio, PR 00690
Phone (787) 600-0353
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
60401 PMB 46 Post and Shop
Carretera 110 KM 29.2
San Antonio, PR 00690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8061 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opciones Psicoeducativas Inc | Current | Accepting new patients | |
| Opciones Psicoeducativas | Past | Accepting new patients |
Locations
55 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 265-5583
55 Calle Dr Basora N
Ste 201
Mayaguez, PR 00680
Phone (787) 265-5583
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.
-
- Clinic/Center
- Mayaguez, PR
- NPI 1679233597
-
- Psychologist
- Mayaguez, PR
- NPI 1902964760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1265260160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60401 PMB 46",
"address_2": "CARR. 110 KM 29.2",
"city": "SAN ANTONIO",
"state": "PR",
"postal_code": "00690",
"telephone_number": "787-600-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60401 PMB 46",
"address_2": "CARR. 110 KM 29.2",
"city": "SAN ANTONIO",
"state": "PR",
"postal_code": "00690",
"telephone_number": "787-600-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES SANTIAGO",
"first_name": "SHEILY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY. D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "8061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.