Individual provider Active NPI

Ricardo Cruz Morales Sr., M.PSY

  • Counseling Psychologist
  • Humacao, PR
National Provider Identifier
1396188462
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4255 Issued in PR
Practice address
126 Calle Cruz Ortiz Stella S
Humacao, PR 00791-3727
Phone
(787) 850-4720
Fax
(787) 561-7464
NPI assigned
Apr 9, 2013
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4255 PR Primary

Addresses

Primary practice location

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

Mailing address

Urb Verde Mar
991 Calle Zirconia
Humacao, PR 00741-2125
Phone (787) 850-4720

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191126000793 PR Practitioner - Clinical Psychologist 4082047436 Practice locations: Humacao, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4255PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
East New Dawn Psychotherapy, LLC Counseling CurrentSince Nov 10, 2024 Accepting new patients
Positive Psychology and Coaching Center Psychologist CurrentSince Nov 10, 2024 Accepting new patients

Locations

126 Calle Cruz Ortiz Stella S
Humacao, PR 00791
Phone (787) 448-2543

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1396188462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VERDE MAR",
            "address_2": "991 CALLE ZIRCONIA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007412125",
            "telephone_number": "787-850-4720",
            "fax_number": "787-561-7464"
        },
        {
            "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": "787-850-4720",
            "fax_number": "787-561-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ MORALES",
        "first_name": "RICARDO",
        "name_suffix": "Sr.",
        "credential": "M.PSY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.