Individual provider Active NPI

Yari L Colon, PH.D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1316181191
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3208 Issued in PR
Practice address
200 Ave Los Chalets
Box 47 Chalets de Cupey
San Juan, PR 00926-4460
Phone
(787) 467-1041
Fax
(787) 641-5881
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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 3208 PR Primary

Addresses

Primary practice location

200 Ave Los Chalets
Box 47 Chalets de Cupey
San Juan, PR 00926-4460

Mailing address

200 Ave Los Chalets
Box 47 Chalets de Cupey
San Juan, PR 00926-4460
Phone (787) 467-1041

Other identifiers 1

IdentifierTypeStateIssuer
3208OtherPRPROFESSIONAL LICENSE

Other names 1

  • Dr. Yari L Colon-Torres Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3208PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1316181191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE LOS CHALETS",
            "address_2": "BOX 47 CHALETS DE CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264460",
            "telephone_number": "787-467-1041",
            "fax_number": "787-641-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE LOS CHALETS",
            "address_2": "BOX 47 CHALETS DE CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264460",
            "telephone_number": "787-467-1041",
            "fax_number": "787-641-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "YARI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "3208",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YARI",
            "last_name": "COLON-TORRES",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.