Active NPI
Neuroeducational Consultans LLC
- Clinical Psychologist
- Villalba, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NEUROEDUCATIONAL CONSULTANS LLC
- Practice address
- Bo Tierra Santa
Carr 149 KM 582 Primer Piso
Villalba, PR 00766 - Phone
- (787) 517-9493
- NPI assigned
- May 17, 2023
- Last updated
- May 17, 2023
- 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
- Joan Marie Acosta Negron, PSYCHOLOGIST
- Title
- President/ Owner
- Phone
- (787) 517-9493
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X |
Addresses
Primary practice location
Bo Tierra Santa
Carr 149 KM 582 Primer Piso
Villalba, PR 00766
Mailing address
Bo Tierra Santa
Carr 149 KM 582 Primer Piso
Villalba, PR 00766
Phone (787) 517-9493
Other practice location 1
Hacienda El Mayoral
Calle Principal #6
Villalba, PR 00766-0076
Phone (787) 569-7459
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, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Villalba, PR
- NPI 1114616695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1346931706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BO TIERRA SANTA",
"address_2": "CARR 149 KM 582 PRIMER PISO",
"city": "VILLALBA",
"state": "PR",
"postal_code": "00766",
"telephone_number": "787-517-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO TIERRA SANTA",
"address_2": "CARR 149 KM 582 PRIMER PISO",
"city": "VILLALBA",
"state": "PR",
"postal_code": "00766",
"telephone_number": "787-517-9493"
}
],
"practiceLocations": [
{
"address_1": "HACIENDA EL MAYORAL",
"address_2": "CALLE PRINCIPAL #6",
"address_purpose": "LOCATION",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007660076",
"country_code": "US",
"telephone_number": "787-569-7459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEUROEDUCATIONAL CONSULTANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "ACOSTA NEGRON",
"authorized_official_first_name": "JOAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "787-517-9493",
"authorized_official_credential": "PSYCHOLOGIST"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villalba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.