Individual provider Active NPI

Elizabeth Hermina Mercado, PSYD

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1346382801
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1857 Issued in PR
Practice address
Migrant Health Center, Inc.
392 Sur Calle Ramon Emeterio Betances
Mayaguez, PR 00680
Phone
(787) 805-2900
Fax
(787) 834-1924
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 1857 PR Primary
Psychologist 103T00000X 1857 PR

Addresses

Primary practice location

Migrant Health Center, Inc.
392 Sur Calle Ramon Emeterio Betances
Mayaguez, PR 00680

Mailing address

PO Box 190
Mayaguez, PR 00681-0190
Phone (787) 805-2900

Other identifiers 1

IdentifierTypeStateIssuer
7082OtherPRFIRST MEDICAL

Other names 1

  • Dr. Elizabeth Hermina Former name

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
I20120703000607 PR Practitioner - Clinical Psychologist 6901061555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1857PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region,Inc CurrentSince May 15, 2012 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince May 15, 2012 Accepting new patients
Migrant Health Center Western Region Inc Past Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Locations

392 Calle Rmn Btnces S
Mayaguez, PR 00680
Phone (787) 317-5187

497 Calle Rmn Btnces S
Mayaguez, PR 00680

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1346382801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810190",
            "telephone_number": "787-805-2900",
            "fax_number": "787-834-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIGRANT HEALTH CENTER, INC.",
            "address_2": "392 SUR CALLE RAMON EMETERIO BETANCES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-805-2900",
            "fax_number": "787-834-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMINA MERCADO",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1857",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "1857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "7082",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HERMINA",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.