Active NPI
Brenda L Mercado, M.ED.
- School Psychologist
- Ponce, PR
National Provider Identifier
1417343963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2072
- Practice address
- 3351 Ave Emilio Fagot
Ponce, PR 00730-4608 - Phone
- (787) 667-9176
- NPI assigned
- Apr 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2072 | PR | Primary |
Addresses
Primary practice location
3351 Ave Emilio Fagot
Ponce, PR 00730-4608
Mailing address
3351 Ave Emilio Fagot
Ponce, PR 00730-4608
Phone (787) 667-9176
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2072 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428710400000",
"number": "1417343963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 AVE EMILIO FAGOT",
"city": "PONCE",
"state": "PR",
"postal_code": "007304608",
"telephone_number": "787-667-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 AVE EMILIO FAGOT",
"city": "PONCE",
"state": "PR",
"postal_code": "007304608",
"telephone_number": "787-667-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "BRENDA",
"middle_name": "L",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-11",
"last_updated": "2015-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "2072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.