Individual provider Active NPI

Kathia M Pena Rios, PHD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1417805045
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8826 Issued in PR
Practice address
1135 Call 5 Urb. Villa Nevarez
San Juan, PR 00927-5165
Phone
(787) 530-6633
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 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 8826 PR Primary

Addresses

Primary practice location

1135 Call 5 Urb. Villa Nevarez
San Juan, PR 00927-5165

Mailing address

1400 Ave de Diego Urb. Palacios del Escorial
Apt 960
Carolina, PR 00987-4701

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
I20260419000092 PR Practitioner - Clinical Psychologist 5890261655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

368 Calle de Diego
Apt 602
San Juan, PR 00923

Cond Palacios de Escorial Apt
Suite 960
Carolina, PR 00987

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8826PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elders of Puerto Rico, PSC 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": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1417805045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AVE DE DIEGO URB. PALACIOS DEL ESCORIAL",
            "address_2": "APT 960",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CALL 5 URB. VILLA NEVAREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275165",
            "telephone_number": "787-530-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA RIOS",
        "first_name": "KATHIA",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.