Organization Active NPI

Transforma Psychology Group

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1396576369
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TRANSFORMA PSYCHOLOGY GROUP
Practice address
Carr 2 Calle Marginal Reparto San Miguel
KM 81 # 1
Arecibo, PR 00612
Phone
(787) 515-5124
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Dr. Kenia Y Aviles, PSY.D.NPI 1144987330
Title
Psicologa Clinica
Phone
(787) 515-5124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

Carr 2 Calle Marginal Reparto San Miguel
KM 81 # 1
Arecibo, PR 00612

Mailing address

Las Praderas 1071 Calle Jaspe
Barceloneta, PR 00617
Phone (787) 515-5124

Other names 1

  • Transforma Psychology Group LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1396576369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS PRADERAS 1071 CALLE JASPE",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-515-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 CALLE MARGINAL REPARTO SAN MIGUEL",
            "address_2": "KM 81 # 1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-515-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMA PSYCHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "KENIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PSICOLOGA CLINICA",
        "authorized_official_telephone_number": "787-515-5124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transforma Psychology Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.