Grace Marie Vivaldi, M.A. PSYCHOLOGY

Primary specialty

PsychologistTaxonomy code 103T00000X

License

781 Issued in PR

Practice address

B5 Calle Uruguay
Haciendas de Monte Verde
Vega Baja, PR 00693-5822

Phone

(787) 854-7060

Fax

(787) 854-7021

NPI assigned

Sep 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Grace Marie Vivaldi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1417280447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URUGUAY ST. B-5 HAC. MONTE VERDE",
            "address_2": "GRACE M. VIVALDI",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935822",
            "telephone_number": "787-854-7060",
            "fax_number": "787-854-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B5 CALLE URUGUAY",
            "address_2": "HACIENDAS DE MONTE VERDE",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935822",
            "telephone_number": "787-854-7060",
            "fax_number": "787-854-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVALDI",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A. PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "VIVALDI",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "M.A. PSYCHOLOGY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victor J. Mariano Inc.
• Sheydie Enelie Vidal Plaza, PSYD
• Xavier Villalobos
• Rafael Angel Villanueva
• Yelitza Villegas
• Vivo Clinic Corp
• Walgreen Co
• Wellness & Medical Care Group LLC
• Xeneize Medical LLC
• Xpress Optical Services LLC

• Psychologist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.