Active NPI
Mental Health Solutions of Puerto Rico L.L.C
- Clinical Psychologist
- Bayamon, PR
National Provider Identifier
1346655305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3189
- Legal business name
- MENTAL HEALTH SOLUTIONS OF PUERTO RICO L.L.C
- Practice address
- Carr 174 KM. 0.4 Suite 105-a
Bayamon, PR 00960 - Phone
- (787) 607-5109
- NPI assigned
- Jun 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio L Berdecia-Alvarez, PSY.D
- Title
- Doctor
- Phone
- (787) 607-5109
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3189 | PR | Primary |
Addresses
Primary practice location
Carr 174 KM. 0.4 Suite 105-a
Bayamon, PR 00960
Mailing address
P.O. Box 607071
PMB 21
Bayamon, PR 00960
Phone (787) 607-5109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Bayamon, PR
- NPI 1497999833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403827200000",
"number": "1346655305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 607071",
"address_2": "PMB 21",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-607-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 174 KM. 0.4 SUITE 105-A",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-607-5109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH SOLUTIONS OF PUERTO RICO L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-27",
"last_updated": "2014-06-27",
"status": "A",
"authorized_official_last_name": "BERDECIA-ALVAREZ",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "787-607-5109",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.