Active NPI
Gretchel J Santiago-Jhaveri, MA
- Counseling Psychologist
- Bayamon, PR
National Provider Identifier
1326659871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6142
- Practice address
- 100 Ave Laurel
Bayamon, PR 00956-4816 - Phone
- (787) 338-8383
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6142 | Primary | |
| Counseling Psychologist | 103TC1900X | 6142 | PR |
Addresses
Primary practice location
100 Ave Laurel
Bayamon, PR 00956-4816
Mailing address
Buena Vista Village
Carr 844 Apt 1221
San Juan, PR 00926
Phone (939) 308-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6142 | Other | 6142 |
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1326659871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BUENA VISTA VILLAGE",
"address_2": "CARR 844 APT 1221",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "939-308-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AVE LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564816",
"telephone_number": "787-338-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO-JHAVERI",
"first_name": "GRETCHEL",
"middle_name": "J",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": "6142",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6142",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "6142",
"identifier": "6142",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.