Yairlein Mary Plaza Pagan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6875 Issued in PR

Practice address

Blvd. Luis a. Ferr Edificio Porrata Pila
Suite 208 #2431
Ponce, PR 00717

Phone

(939) 201-8926

NPI assigned

Feb 15, 2022

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Plaza Mental Health Clinic LLC

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1417829060
  NPD Authorized official

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386399640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "939-201-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLVD. LUIS A. FERR EDIFICIO PORRATA PILA",
            "address_2": "SUITE 208 #2431",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "939-201-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAZA PAGAN",
        "first_name": "YAIRLEIN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Ivan Plata Mejias
• Kimberly Plata, PSYD
• Jose Plaud, C. A. G. S.
• Plaza Mental Health Clinic LLC
• Ana V Plaza Montero, P.H.D.
• Frances Marie Plaza Rosario, MPH
• Maria Rivera Plaza, MSW
• Priscilla Plaza, M.D.
• PMC Marketing Corp (Farmacias El Amal # 2)
• PMC Marketing Corp (Farmacia El Amal # 7)

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, 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 Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.