Individual provider Active NPI

Johanna Ortiz Negron, PSY.D.

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1306076799
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2885 Issued in PR
Practice address
HC 67 Box 13212
Bayamon, PR 00956-9871
Phone
(787) 404-7717
NPI assigned
Jul 20, 2009
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 2885 PR Primary

Addresses

Primary practice location

HC 67 Box 13212
Bayamon, PR 00956-9871

Mailing address

HC 67 Box 13212
Bayamon, PR 00956-9871
Phone (787) 404-7717

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140605001833 PR Practitioner - Clinical Psychologist 9133343411 Practice locations: Catano, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2885PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1306076799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 67 BOX 13212",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569871",
            "telephone_number": "787-404-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 67 BOX 13212",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569871",
            "telephone_number": "787-404-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ NEGRON",
        "first_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.