Janice Calderon-Cruz, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2526 Issued in PR

Practice address

126 Calle Cruz Ortiz Stella S
Humacao, PR 00791-3727

Phone

(787) 852-3787

Fax

(787) 285-8393

NPI assigned

Feb 24, 2009

Last updated

Jan 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East New Dawn Psychotherapy, LLC

  • Counseling Psychologist
  • Humacao, PR
  • NPI 1104649011
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1356581805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710571",
            "telephone_number": "787-317-5072",
            "fax_number": "787-733-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CALLE CRUZ ORTIZ STELLA S",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913727",
            "telephone_number": "787-852-3787",
            "fax_number": "787-285-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON-CRUZ",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2526",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "2526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria De Lourdes Buso, MSW
• Roberto Manuel Caban Addarich Sr.
• Tyfannie Cabrera Ramos
• Kydian Cabrera, LND
• Aleida Caceres, M.A.
• Amalyn Calderon
• Alejandro Calvi, MD
• Lourdes Camacho, M.S. SLP
• Guillermo Francisco Campos Santiago, MD
• Coralyz Camps, TS

• Clinical Psychologist in Humacao, PR
• Providers in Humacao, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.