Individual provider Active NPI

Karen Y Pujals Morales, PH.D

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1336561398
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5532 Issued in PR
Practice address
Edif Medico Santa Cruz 73
Ofic 212
Bayamon, PR 00961
Phone
(787) 798-4592
Fax
(787) 798-8236
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 5532 PR Primary
Clinical Neuropsychologist 103G00000X

Addresses

Primary practice location

Edif Medico Santa Cruz 73
Ofic 212
Bayamon, PR 00961

Mailing address

PO Box 8129
Bayamon, PR 00960-8129
Phone (787) 798-4592

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
I20140224001012 PR Practitioner - Clinical Psychologist 4385874130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Cruz Behavioral PSCGroup PAC ID 4688705619, 4 clinicians

Practice addresses (Care Compare)

73 Calle Santa Cruz
Suite 212
Bayamon, PR 00961
Phone (787) 798-4592

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5532PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Behavioral PSC CurrentSince Jan 17, 2014 Accepting new patients
Sylma Batista MD PSC PastSince Jan 17, 2014 Accepting new patients

Locations

73 Calle Santa Cruz
Ste 212
Bayamon, PR 00961
Phone (787) 798-2170

Organizations & group practices 2

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": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1336561398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8129",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608129",
            "telephone_number": "787-798-4592",
            "fax_number": "787-798-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF MEDICO SANTA CRUZ 73",
            "address_2": "OFIC 212",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-798-4592",
            "fax_number": "787-798-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJALS MORALES",
        "first_name": "KAREN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5532",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.