Mariam Feliciano, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5444 Issued in PR

Practice address

J9 Calle J
Urb. Jardines de Caguas
Caguas, PR 00727-2538

Phone

(787) 469-8325

NPI assigned

Jan 8, 2014

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro Servicios Primarios de Salud de Patillas Inc.

  • Federally Qualified Health Center (FQHC)
  • Patillas, PR
  • NPI 1275539728
  Medicare reassignment NPD
• Centro de Servicios Primarios de Salud de Patillas Inc.

  • Health Service Clinic/Center
  • Salinas, PR
  • NPI 1154070365
  NPD

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1285056333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J9 CALLE J",
            "address_2": "URB. JARDINES DE CAGUAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272538",
            "telephone_number": "787-469-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J9 CALLE J",
            "address_2": "URB. JARDINES DE CAGUAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272538",
            "telephone_number": "787-469-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "MARIAM",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5444",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz DS Feliciano Vazquez, DC
• Ruth A. Feliciano-Bacenet, MD
• Briseida Enid Feliciano, M.D.
• Luis A. Feliciano, M.D.
• Marco A Feliciano, M.D
• Samary Feliciano, MSW
• Milca Felipe Martinez
• Angeline Marie Felix Rodriguez
• Victor M. Felix-Valdes Sr., M.D.
• Adam Emilio Felix

• Clinical Psychologist in Caguas, PR
• Providers in Caguas, 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 Mar 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.