Ivelisse Nieves Castellano

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6398 Issued in PR

Practice address

Cond Palmas de Montebello Calle Marginal
Apt 202 745
Trujillo Alto, PR 00976

Phone

(787) 249-0242

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1306503966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009770371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND PALMAS DE MONTEBELLO CALLE MARGINAL",
            "address_2": "APT 202 745",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-249-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES CASTELLANO",
        "first_name": "IVELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neomed Center, Inc.
• Neomed Center, Inc.
• Neomed Center, Inc.
• Neuro Voice Therapy LLC
• Next G Corp
• Karol Nieves Perez, RN ADN
• Cecilio Enrique Nieves, RNA
• Teodulo Rafael Nieves, MD
• Jackimarie Nunez Vellon, PHARMD.
• Nyortiz, LLC

• Counseling Psychologist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.