Individual provider Active NPI

Hernan Plazas Rodriguez, PSYCHOLOGIST

  • Counseling Psychologist
  • Mayaguez, PR
National Provider Identifier
1407188246
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2782 Issued in PR
Practice address
Edificio Medical Emporium II Carr #2 KM 156.5
Suite a 14
Mayaguez, PR 00680-9998
Phone
(787) 265-6644
NPI assigned
Feb 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 2782 PR
Cognitive & Behavioral Psychologist 103TB0200X 2782 PR
Clinical Child & Adolescent Psychologist 103TC2200X 2782 PR
Family Psychologist 103TF0000X 2782 PR
Forensic Psychologist 103TF0200X 2782 PR
Group Psychotherapy Psychologist 103TP2701X 2782 PR
Marriage & Family Therapist 106H00000X 2782 PR
Counseling Psychologist 103TC1900X 2782 PR Primary

Addresses

Primary practice location

Edificio Medical Emporium II Carr #2 KM 156.5
Suite a 14
Mayaguez, PR 00680-9998

Mailing address

PO Box 2188
San German, PR 00683
Phone (787) 538-4001

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2782PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Consultores Psicologicos Asociados Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1407188246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2188",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-538-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICAL EMPORIUM II CARR #2 KM 156.5",
            "address_2": "SUITE A 14",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006809998",
            "telephone_number": "787-265-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAZAS RODRIGUEZ",
        "first_name": "HERNAN",
        "name_prefix": "Mr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2023-06-07",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "2782",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PR",
            "license": "2782",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "2782",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PR",
            "license": "2782",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "PR",
            "license": "2782",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PR",
            "license": "2782",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PR",
            "license": "2782",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "2782",
            "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 Jun 7, 2023; 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.