Jennifer Pelletier

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

004644 Issued in PR

Practice address

Carr 167 Ave. Comerio Final
Bo. Sabana Seca
Toa Baja, PR 00949

Phone

(787) 988-8873

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1356999833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 VILLAS DE HATO TEJAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 167 AVE. COMERIO FINAL",
            "address_2": "BO. SABANA SECA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-988-8873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "578 Villas De Hato Tejas Apt 23-201",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009594319",
            "country_code": "US",
            "telephone_number": "787-988-8873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "004644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Pagan
• Darling Taiz Pantoja
• Paramedic Life Care Ambulance Service,Corp
• Luis A Paris Rivera, M.D
• Yairamaris Pelet Giraud, M.D.
• Elizabeth Pena Payero, PSY.D
• Noemi Camille Perdomo, CPL
• Hector Perez Avila
• Nicolle Yarie Perez Ayala, PHARMD
• David Rafael Perez Pantoja, M.D.

• Counseling Psychologist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.