Individual provider Active NPI

Tainari Davila Rodriguez, PHD

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1407278450
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5432 Issued in PR
Practice address
Urb Santa Cruz A17 Calle 4
Bayamon, PR 00961-6917
Phone
(787) 909-5359
Fax
(787) 301-0819
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 5432 PR Primary

Addresses

Primary practice location

Urb Santa Cruz A17 Calle 4
Bayamon, PR 00961-6917

Mailing address

PO Box 10282
San Juan, PR 00922-0282
Phone (787) 909-5359

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
I20140211001026 PR Practitioner - Clinical Psychologist 5193954394 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Santa Cruz A17 Calle
Suite 4
Bayamon, PR 00961-6917
Phone (787) 909-5359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5432PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicamente LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
Santa Cruz Behavioral PSC CurrentSince Jan 22, 2014 Accepting new patients
Sylma Batista MD PSC PastSince Jan 22, 2014 Accepting new patients

Locations

A17 Calle 4
Bayamon, PR 00961
Phone (787) 909-5359

73 Calle Santa Cruz
Ste 212
Bayamon, PR 00961
Phone (787) 798-2170

68 Calle Santa Cruz
Ste 606
Bayamon, PR 00961
Phone (787) 909-5359

Organizations & group practices 3

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": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1407278450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10282",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220282",
            "telephone_number": "787-909-5359",
            "fax_number": "787-301-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA CRUZ A17 CALLE 4",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616917",
            "telephone_number": "787-909-5359",
            "fax_number": "787-301-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA RODRIGUEZ",
        "first_name": "TAINARI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.