Individual provider Active NPI

Sheila Pares, PSY.D

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1306047246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2021 Issued in PR
Practice address
E11 Calle 1
Paseo Mayor
San Juan, PR 00926-4669
Phone
(787) 448-2848
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2021 PR Primary

Addresses

Primary practice location

E11 Calle 1
Paseo Mayor
San Juan, PR 00926-4669

Mailing address

E11 Calle 1
Paseo Mayor
San Juan, PR 00926-4669
Phone (787) 448-2848

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
2021PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306047246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E11 CALLE 1",
            "address_2": "PASEO MAYOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264669",
            "telephone_number": "787-448-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E11 CALLE 1",
            "address_2": "PASEO MAYOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264669",
            "telephone_number": "787-448-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARES",
        "first_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2021",
            "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 Jul 8, 2007; 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.