Active NPI
Christina Mercedes Jimenez Gonzalez, MA
- Psychologist
- Caguas, PR
National Provider Identifier
1437997186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7553
- Practice address
- PR-788 Bo. Tomas de Castro
Caguas, PR 00725 - Phone
- (787) 414-0850
- NPI assigned
- Jul 17, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 7553 | PR | |
| School Psychologist | 103TS0200X | 7553 | PR | |
| Psychologist | 103T00000X | 7553 | PR | Primary |
Addresses
Primary practice location
PR-788 Bo. Tomas de Castro
Caguas, PR 00725
Mailing address
5 Calle 1, Caguas, 00727
Dehetau Apartments, Apt 304
Caguas, PR 00727
Phone (787) 414-0850
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7553 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1437997186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CALLE 1, CAGUAS, 00727",
"address_2": "DEHETAU APARTMENTS, APT 304",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-414-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PR-788 BO. TOMAS DE CASTRO",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-414-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ GONZALEZ",
"first_name": "CHRISTINA",
"middle_name": "MERCEDES",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PR",
"license": "7553",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "7553",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "7553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.