Individual provider Active NPI

Yarelis Marie Colon, M.PSY

  • Psychologist
  • Toa Alta, PR
National Provider Identifier
1275831315
Registry record updated Mar 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3516 Issued in PR
Practice address
RR 2 Box 4082
Toa Alta, PR 00953-7005
Phone
(787) 234-4015
NPI assigned
Mar 13, 2011
Last updated
Mar 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3516 PR Primary

Addresses

Primary practice location

RR 2 Box 4082
Toa Alta, PR 00953-7005

Mailing address

RR 2 Box 4082
Toa Alta, PR 00953-7005
Phone (787) 234-4015

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

State licenses

LicenseStateTypeSpecialty
3516PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1299974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299974400000",
    "number": "1275831315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 4082",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009537005",
            "telephone_number": "787-234-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 4082",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009537005",
            "telephone_number": "787-234-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "YARELIS",
        "middle_name": "MARIE",
        "credential": "M.PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-13",
        "last_updated": "2011-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2011; 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.