Active NPI
Jessica Serrano Berdiel, M.ED
- School Psychologist
- Ponce, PR
National Provider Identifier
1336442623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3956
- Practice address
- 388 Zona Ind Reparada 2
Ponce, PR 00716-2347 - Phone
- (787) 812-2525
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3956 | PR | Primary |
Addresses
Primary practice location
388 Zona Ind Reparada 2
Ponce, PR 00716-2347
Mailing address
PO Box 510
Adjuntas, PR 00601-0510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3956 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiber Health, Public Benefit Corporation | Current | Accepting new patients | |
| Tiber Health, Public Benefit Corporation | Current | Accepting new patients | |
| Tiber Health, Public Benefit Corporation | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1467180851
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- Dentist
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- NPI 1013734821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1336442623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510",
"city": "ADJUNTAS",
"state": "PR",
"postal_code": "006010510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 ZONA IND REPARADA 2",
"city": "PONCE",
"state": "PR",
"postal_code": "007162347",
"telephone_number": "787-812-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO BERDIEL",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "3956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.