Organization Active NPI

Professional Consulting Psychoeducational Service LLC

  • Health Psychologist
  • San Juan, PR
National Provider Identifier
1285427278
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Legal business name
PROFESSIONAL CONSULTING PSYCHOEDUCATIONAL SERVICE LLC
Practice address
1000 Ave Ponce de Leon Suite 500
Edificio Telesforo Esq Cerra
San Juan, PR 00907
Phone
(787) 764-2665
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Mr. Roberto De Jesus, PH. D
Title
President
Phone
(787) 644-9872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0004X Primary

Addresses

Primary practice location

1000 Ave Ponce de Leon Suite 500
Edificio Telesforo Esq Cerra
San Juan, PR 00907

Mailing address

405 Ave Esmeralda Ste 2
Guaynabo, PR 00969-4466
Phone (787) 644-9872

National Provider Directory

National Provider Directory

Locations

1000 Ave Ponce de Leon
Ste 500
San Juan, PR 00907
Phone (787) 764-2665

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1285427278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 AVE ESMERALDA STE 2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694466",
            "telephone_number": "787-644-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AVE PONCE DE LEON SUITE 500",
            "address_2": "EDIFICIO TELESFORO ESQ CERRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-764-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CONSULTING PSYCHOEDUCATIONAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-644-9872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH. D"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.