Individual provider Active NPI

Yamilette Berrios Mota, PHD.

  • Clinical Psychologist
  • Rio Grande, PR
National Provider Identifier
1306711775
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5903 Issued in PR
Practice address
Urb Parc la Dolores
22 Calle Marginal
Rio Grande, PR 00745-2411
Phone
(787) 613-1223
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 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 5903 PR Primary

Addresses

Primary practice location

Urb Parc la Dolores
22 Calle Marginal
Rio Grande, PR 00745-2411

Mailing address

PO Box 965
Rio Grande, PR 00745-0965

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
I20251118000199 PR Practitioner - Clinical Psychologist 4284125303 Practice locations: Rio Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Calle Marginal
Rio Grande, PR 00745-2411
Phone (787) 613-5123

5260 C Ngel Prez Lugo
Ponce, PR 00716

PO Box
Suite 965
Rio Grande, PR 00745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5903PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1306711775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PARC LA DOLORES",
            "address_2": "22 CALLE MARGINAL",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452411",
            "telephone_number": "787-613-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS MOTA",
        "first_name": "YAMILETTE",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

Verify at the official NPI Registry.