Jessica Marie Perez Caban, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6867 Issued in PR

Practice address

100 Ave Nativo Alers Plaza Coppelia L108
Bo Piedras Blancas Sector Desvio Sur
Aguada, PR 00602

Phone

(939) 349-1682

NPI assigned

Mar 23, 2021

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)

Enrolled

State licenses

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1366028094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVE NATIVO ALERS STE 110",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023418",
            "telephone_number": "939-349-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE NATIVO ALERS PLAZA COPPELIA L108",
            "address_2": "BO PIEDRAS BLANCAS SECTOR DESVIO SUR",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "939-349-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CABAN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdin Padilla
• Adrian Carlos Padin Roman
• Yaditza Paredes
• Sacha Perez Acevedo, PH.D.
• Luditza Perez Badillo
• Fabiola Marie Perez Chaparro
• Mayra Perez Mendoza, M.D.
• Cinthia Suzzette Perez Perez, PSYD
• Eunice Perez Torres, MA
• Berenis Perez, MD

• Clinical Psychologist in Aguada, PR
• Providers in Aguada, 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 Aug 28, 2023; 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.