Individual provider Active NPI

Gisselle M Torres Padin, PSY

  • Counseling Psychologist
  • San Juan, PR
National Provider Identifier
1437863941
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6445 Issued in PR
Practice address
602 Ave Munoz Rivera Ste 203
San Juan, PR 00918-3625
Phone
(787) 515-2511
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6445 PR Primary

Addresses

Primary practice location

602 Ave Munoz Rivera Ste 203
San Juan, PR 00918-3625

Mailing address

401 Ave Americo Miranda
San Juan, PR 00927-4632
Phone (787) 515-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613002878 PR Practitioner - Psychologist Billing Independently 3779026190 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6445PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1437863941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 AVE AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274632",
            "telephone_number": "787-515-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 AVE MUNOZ RIVERA STE 203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183625",
            "telephone_number": "787-515-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES PADIN",
        "first_name": "GISSELLE",
        "middle_name": "M",
        "credential": "PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.