Individual provider Active NPI

Laurie Janice Rullan Ferrer, PSY.D.

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1316614076
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7068 Issued in PR
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
Aug 30, 2021
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7068 PR 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
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
I20251223004752 PR Practitioner - Clinical Psychologist 0749775013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

402 Blvd Media Luna
Apt 1604
Carolina, PR 00987

402 Blvd Media Luna
Apt 1604
Carolina, PR 00987-4958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7068PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology PR LLC Clinical CurrentSince Oct 16, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1316614076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BLVD MEDIA LUNA APT 1604 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": {
        "last_name": "RULLAN FERRER",
        "first_name": "LAURIE",
        "middle_name": "JANICE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.