Organization Active NPI

Health Psychology PR LLC

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1306655394
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HEALTH PSYCHOLOGY PR LLC
Practice address
Avenida Manuel Fernandez Juncos Esq Calle Amadeo
Torre Medica San Fernando Suite 501
Carolina, PR 00986-0008
Phone
(787) 314-3680
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Authorized official

Name
Laurie J Rullan FerrerNPI 1316614076
Title
President
Phone
(787) 314-3680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

Avenida Manuel Fernandez Juncos Esq Calle Amadeo
Torre Medica San Fernando Suite 501
Carolina, PR 00986-0008

Mailing address

402 Blvd Media Luna Apt 1604
Cond. Veredas del Parque
Carolina, PR 00987

Other practice location 1

Aguadilla Medical Services
Carr. 2 Km 129.3 Suite 206
Aguadilla, PR 00603-4728
Phone (787) 314-3680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223004429 PR Part B Supplier - Clinic/Group Practice 9830684109 Receives reassigned benefits from 1 practitioner
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1306655394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BLVD MEDIA LUNA APT 1604",
            "address_2": "COND. VEREDAS DEL PARQUE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA MANUEL FERNANDEZ JUNCOS ESQ CALLE AMADEO",
            "address_2": "TORRE MEDICA SAN FERNANDO SUITE 501",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860008",
            "telephone_number": "787-314-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Aguadilla Medical Services",
            "address_2": "Carr. 2 Km 129.3 Suite 206",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "006034728",
            "country_code": "US",
            "telephone_number": "787-314-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH PSYCHOLOGY PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "RULLAN FERRER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-314-3680"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.