Psicologia Innovadora del Oeste

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSICOLOGIA INNOVADORA DEL OESTE

Practice address

Bo Lavadero Carr #2 KM HM 165.5
Hormigueros, PR 00660

Phone

(939) 865-3515

NPI assigned

Oct 23, 2023

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grisselle M Beauchamp-Cortes, PHD

Title

Owner

Phone

(787) 673-2122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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.

• Grisselle Beauchamp, DRA

  • Clinical Psychologist
  • Mayaguez, PR
  • NPI 1679145742
  Medicare reassignment NPD

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1275305476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MONTE BELLO",
            "address_2": "1027 CALLE MAJESTAD",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "939-865-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO LAVADERO CARR #2 KM HM 165.5",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "939-865-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSICOLOGIA INNOVADORA DEL OESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP-CORTES",
        "authorized_official_first_name": "GRISSELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-673-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward A Perez, B.S., D.C.
• Isabel Perez
• Hedrick Porrata-Rivera, M.D.
• Primed Ipa210
• Primedica, Inc. (N/a)
• Jose Adrian Quevedo, T.H.L.
• Radames Quinones - Rivera, M.D.
• Eileen Martiza Quinones, M.D.
• Ana T Qulies Ruiz, MD
• Noe Ramirez Toro, M.D.

• Clinical Psychologist in Hormigueros, PR
• Providers in Hormigueros, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.