NPIMap

Organization Active NPI

Mme Psychology LLC

  • Psychologist
  • Camuy, PR
National Provider Identifier
1306686936
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MME PSYCHOLOGY LLC
Practice address
Ave Munoz Rivera 53 Este
Suite 4
Camuy, PR 00627
Phone
(787) 361-4911
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Maryann Ramos Hernandez, PSYDNPI 1760221006
Title
Tesorera
Phone
(787) 361-4911

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

Ave Munoz Rivera 53 Este
Suite 4
Camuy, PR 00627

Mailing address

24118 Calle Milenio
Quebradillas, PR 00678-7274
Phone (787) 361-4911

Other names 1

  • CAMUY PSYCHOLOGY GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004003416 PR Part B Supplier - Clinic/Group Practice 1052842754 Receives reassigned benefits from 3 practitioners
Practice locations: Camuy, PR

National Provider Directory

National Provider Directory

Locations

53 Ave Munoz Rivera E
Ste 4
Camuy, PR 00627
Phone (787) 361-4911

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1306686936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24118 CALLE MILENIO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006787274",
            "telephone_number": "787-361-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ RIVERA 53 ESTE",
            "address_2": "SUITE 4",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-361-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MME PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "RAMOS HERNANDEZ",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "TESORERA",
        "authorized_official_telephone_number": "787-361-4911",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMUY PSYCHOLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.