Individual provider Active NPI

Jannette Marie Morales Rivera, PH. D.

  • Clinical Psychologist
  • Juana Diaz, PR
National Provider Identifier
1336404813
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4299 Issued in PR
Practice address
HC 2 Box 9429
Juana Diaz, PR 00795-9676
Phone
(787) 448-7401
Fax
(787) 844-4569
NPI assigned
Jul 10, 2012
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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 4299 PR Primary

Addresses

Primary practice location

HC 2 Box 9429
Juana Diaz, PR 00795-9676

Mailing address

Urbanizacion la Rambla
1901 Calle Murcia
Ponce, PR 00730-4062
Phone (787) 488-7401

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
I20190115001962 PR Practitioner - Clinical Psychologist 0143566976 Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4299PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Multidiciplinarios Para la Conducta Humana 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, 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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1336404813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION LA RAMBLA",
            "address_2": "1901 CALLE MURCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304062",
            "telephone_number": "787-488-7401",
            "fax_number": "787-844-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 9429",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959676",
            "telephone_number": "787-448-7401",
            "fax_number": "787-844-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES RIVERA",
        "first_name": "JANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.