Individual provider Active NPI

Sheila Yanira Maestre, PSY.D

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1366656803
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2664 Issued in PR
Practice address
Calle Mendez Vigo 63 Este
Edificio Centro Plaza, Oficina 4a
Mayaguez, PR 00680-4968
Phone
(787) 806-2220
Fax
(787) 806-2220
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2664 PR Primary

Addresses

Primary practice location

Calle Mendez Vigo 63 Este
Edificio Centro Plaza, Oficina 4a
Mayaguez, PR 00680-4968

Mailing address

Calle Mendez Vigo 63 Este
Edificio Centro Plaza, Oficina 4a
Mayaguez, PR 00680-4968
Phone (787) 806-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2664PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1366656803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE MENDEZ VIGO 63 ESTE",
            "address_2": "EDIFICIO CENTRO PLAZA, OFICINA 4A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804968",
            "telephone_number": "787-806-2220",
            "fax_number": "787-806-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MENDEZ VIGO 63 ESTE",
            "address_2": "EDIFICIO CENTRO PLAZA, OFICINA 4A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804968",
            "telephone_number": "787-806-2220",
            "fax_number": "787-806-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTRE",
        "first_name": "SHEILA",
        "middle_name": "YANIRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.