Individual provider Active NPI

Nilde J. Defendini Cordoliani, P.H.D.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1326378498
Registry record updated Mar 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3537 Issued in PR
Practice address
2604 Ave Las Americas
Urb Constancia
Ponce, PR 00717-2107
Phone
(787) 844-3077
Fax
(787) 844-3077
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2018

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 3537 PR Primary

Addresses

Primary practice location

2604 Ave Las Americas
Urb Constancia
Ponce, PR 00717-2107

Mailing address

PO Box 8851
Ponce, PR 00732-8851
Phone (787) 632-7465

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
I20111025000308 PR Practitioner - Clinical Psychologist 5193997336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N and N Psychological ServicesGroup PAC ID 8921270166, 2 clinicians

Practice addresses (Care Compare)

35 Calle Mayor
Ponce, PR 00730-3726
Phone (787) 844-3077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
N & N Psychological Services CurrentSince Aug 15, 2011 Accepting new patients
Centro Holistico Bienestar Mental Past Accepting new patients

Locations

35 Calle Mayor
Ponce, PR 00730
Phone (787) 844-3077

Organizations & group practices 2

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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1326378498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8851",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328851",
            "telephone_number": "787-632-7465",
            "fax_number": "787-844-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 AVE LAS AMERICAS",
            "address_2": "URB CONSTANCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172107",
            "telephone_number": "787-844-3077",
            "fax_number": "787-844-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFENDINI CORDOLIANI",
        "first_name": "NILDE",
        "middle_name": "J.",
        "credential": "P.H.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.