Individual provider Active NPI

Nelisa Algarin Burgos, MA

  • Counseling Psychologist
  • San Juan, PR
National Provider Identifier
1295312783
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6727 Issued in PR
Practice address
403 Ave Domenech
San Juan, PR 00918-2674
Phone
(787) 598-0606
NPI assigned
Mar 29, 2021
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6727 PR
Counseling Psychologist 103TC1900X 6727 PR Primary

Addresses

Primary practice location

403 Ave Domenech
San Juan, PR 00918-2674

Mailing address

Ad26 Calle Tehuacan
San Juan, PR 00926-4718
Phone (787) 598-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201002124 PR Practitioner - Psychologist Billing Independently 6002209715 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6727PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternativas Psicologicas Centro de Terapias LLC Psychologist CurrentSince Mar 17, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1295312783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AD26 CALLE TEHUACAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264718",
            "telephone_number": "787-598-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182674",
            "telephone_number": "787-598-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGARIN BURGOS",
        "first_name": "NELISA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6727",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6727",
            "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 17, 2024; 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.