NPIMap

Organization Active NPI

Psych Wellness Corporation

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1346480274
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3348 Issued in PR
Legal business name
PSYCH WELLNESS CORPORATION
Practice address
Calle Cesar Gonzalez
# 407 Urb Roosevelt
San Juan, PR 00918-3901
Phone
(787) 318-6350
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amelia Rodriguez, PH.D
Title
Director
Phone
(787) 318-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3348 PR Primary

Addresses

Primary practice location

Calle Cesar Gonzalez
# 407 Urb Roosevelt
San Juan, PR 00918-3901

Mailing address

Calle Cesar Gonzalez
# 407 Urb Roosevelt
San Juan, PR 00918-3901
Phone (787) 318-6350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1346480274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE CESAR GONZALEZ",
            "address_2": "# 407 URB ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183901",
            "telephone_number": "787-318-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CESAR GONZALEZ",
            "address_2": "# 407 URB ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183901",
            "telephone_number": "787-318-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH WELLNESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-318-6350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.