Individual provider Active NPI

Beverly Charleene Lopez Cancel, PHD

  • Clinical Psychologist
  • Humacao, PR
National Provider Identifier
1326899493
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
008178 Issued in PR
Practice address
Urb. Pereyo 8 Calle Orion
Humacao, PR 00791
Phone
(787) 529-1559
NPI assigned
Mar 28, 2024
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 008178 PR Primary

Addresses

Primary practice location

Urb. Pereyo 8 Calle Orion
Humacao, PR 00791

Mailing address

PO Box 477
Gurabo, PR 00778-0477

Other practice location 1

Calle Heraclio Mendoza #21
Cayey, PR 00737-3803
Phone (787) 910-1513

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
I20250502001322 PR Practitioner - Clinical Psychologist 1254857246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008178PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cupey Therapy Group Clinical CurrentSince Apr 25, 2025 Accepting new patients

Locations

1735 Carr 844
San Juan, PR 00926
Phone (787) 647-1266

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1326899493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. PEREYO 8 CALLE ORION",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-529-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Heraclio Mendoza #21",
            "address_purpose": "LOCATION",
            "city": "Cayey",
            "state": "PR",
            "postal_code": "007373803",
            "country_code": "US",
            "telephone_number": "787-910-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ CANCEL",
        "first_name": "BEVERLY",
        "middle_name": "CHARLEENE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "008178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.