Gabriel Emil Pagan, PSYD, PASSII

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5846 Issued in PR

Practice address

Villa San Andres
CS Unite 209, Ave. Hostos
Mayaguez, PR 00680-5704

Phone

(787) 432-1702

NPI assigned

Mar 12, 2016

Last updated

May 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Migrant Health Center Western Region,IncGroup PAC ID 4183520810, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Migrant Health Center Western Region,Inc

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
  • NPI 1609969286
  Medicare reassignment Care Compare group NPD
• Migrant Health Center Western Region, Inc.

  • Clinic Pharmacy
  • Yauco, PR
  • NPI 1093262297
  NPD
• Migrant Health Center Western Region Inc

  • Clinic Pharmacy
  • San Sebastian, PR
  • NPI 1114064102
  NPD (past)
• Migrant Health Center Western Region, Inc.

  • Radiology Clinic/Center
  • Las Marias, PR
  • NPI 1508453051
  NPD (past)

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1447611876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA SAN ANDRES",
            "address_2": "SUITE 209, AVE. HOSTOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805704",
            "telephone_number": "787-652-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA SAN ANDRES",
            "address_2": "CS UNITE 209, AVE. HOSTOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805704",
            "telephone_number": "787-432-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "GABRIEL",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "PSYD, PASSII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-12",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "917",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto E Pagan Rivera, DC
• Emilio Pagan Torres, MD
• Fabiola Natalie Pagan-Garcia
• Cristina Pagan-Montalvo, BS, MS, PHARMD
• Vannessa Pagan-Ocasio, MD
• Mayra N Pagan
• Mildred Nereida Pancorbo, LCDA
• Paradise West Medical
• Paradise West Medical, Inc.
• Partners in Hope Inc

• Clinical Psychologist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.