Individual provider Active NPI

Brenda Martinez Inserni, PHD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1407064694
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2337 Issued in PR
Practice address
Rep.Alamein #18
65TH. Infantery Ave.
San Juan, PR 00926
Phone
(787) 765-9370
Fax
(787) 765-4468
NPI assigned
May 19, 2007
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 2337 PR Primary

Addresses

Primary practice location

Rep.Alamein #18
65TH. Infantery Ave.
San Juan, PR 00926

Mailing address

5 Calle 10
Ext. San Agustin
San Juan, PR 00926-1901
Phone (787) 764-7071

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
I20170823000438 PR Practitioner - Clinical Psychologist 0648540039 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Ave 65 Infanteria
San Juan, PR 00926-1953
Phone (787) 565-0884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2337PRMDClinical Psychologist
2237PRMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1407064694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE 10",
            "address_2": "EXT. SAN AGUSTIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261901",
            "telephone_number": "787-764-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REP.ALAMEIN #18",
            "address_2": "65TH. INFANTERY AVE.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-765-9370",
            "fax_number": "787-765-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ INSERNI",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.