Individual provider Active NPI

Johanina McCormick, PH. D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1326587015
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003592 Issued in PR
Practice address
2 Calle Munoz Rivera
Suit 307
Caguas, PR 00725-2603
Phone
(787) 744-4778
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003592 PR Primary
Clinical Psychologist 103TC0700X 019005-1 NY

Addresses

Primary practice location

2 Calle Munoz Rivera
Suit 307
Caguas, PR 00725-2603

Mailing address

J48 Ave Alejandrino
Villa Clementina
Guaynabo, PR 00969-4612
Phone (646) 300-3399

Other names 1

  • Dr. Johanina McCormick Arana 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
019005-1NYMDClinical Psychologist
003592PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1326587015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J48 AVE ALEJANDRINO",
            "address_2": "VILLA CLEMENTINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694612",
            "telephone_number": "646-300-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE MUNOZ RIVERA",
            "address_2": "SUIT 307",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252603",
            "telephone_number": "787-744-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JOHANINA",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "003592",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019005-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANINA",
            "last_name": "ARANA",
            "middle_name": "MCCORMICK",
            "prefix": "DR.",
            "credential": "PH. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.