Active NPI
Demy A De Jesus, PH D
- Clinical Psychologist
- Bayamon, PR
National Provider Identifier
1316994379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2478
- Practice address
- Sitos Lisinda National
Victory Shopping Center Aps Clinics of PR Inc Bayamon
Bayamon, PR 00957 - Phone
- (787) 641-0774
- Fax
- (787) 641-2759
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2478 | PR | Primary |
Addresses
Primary practice location
Sitos Lisinda National
Victory Shopping Center Aps Clinics of PR Inc Bayamon
Bayamon, PR 00957
Mailing address
PO Box 71474
Aps Clinics of PR Inc
San Juan, PR 00936-8574
Phone (787) 641-0774
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061129000036 | PR | Practitioner - Clinical Psychologist | 9931107471 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2478 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aps Clinics of Puerto Rico, Inc. | Past | 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.
-
- Adult Mental Health Clinic/Center
- San Juan, PR
- NPI 1336194448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316994379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71474",
"address_2": "APS CLINICS OF PR INC",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009368574",
"telephone_number": "787-641-0774",
"fax_number": "707-641-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SITOS LISINDA NATIONAL",
"address_2": "VICTORY SHOPPING CENTER APS CLINICS OF PR INC BAYAMON",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-641-0774",
"fax_number": "787-641-2759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "DEMY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PH D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Tania Marie De Jesus Laboy, CD, CBE
- Zuleika De Jesus Rodriguez
- Kevin De Jesus Rosa, PHARMD
- Orlando Emanuel De Jesus Rosario, PSYD
- Michael Gabriel De Jesus Soto
- Gabriel De Jesus, PSY.D.
- De la Cruz Miranda Orthopedic Services PSC
- Antonio A. De la Cruz Miranda, M.D.
- Sussan Ylanairy De la Cruz Ramirez, MD
- Frances Elimar De la Cruz Torres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.