Active NPI
Ana Yaris Ortiz-Merino, MS
- Counseling Psychologist
- Gurabo, PR
National Provider Identifier
1447898903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6532
- Practice address
- Urb Veredas
658 Calle Camino de Los Jazmines
Gurabo, PR 00778-0000 - Phone
- (787) 220-9396
- NPI assigned
- Dec 16, 2019
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6532 | PR | Primary |
Addresses
Primary practice location
Urb Veredas
658 Calle Camino de Los Jazmines
Gurabo, PR 00778-0000
Mailing address
Urb Veredas
658 Calle Camino de Los Jazmines
Gurabo, PR 00778-0000
Phone (787) 220-9396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6532 | Other | PR | MS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | EHR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200904000173 | PR | Practitioner - Psychologist Billing Independently | 3678990694 | Practice locations: Canovanas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6532 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atenea Psychology Inc. | Counseling | Current | 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.
-
- Counseling Psychologist
- Canovanas, PR
- NPI 1457986291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1447898903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB VEREDAS",
"address_2": "658 CALLE CAMINO DE LOS JAZMINES",
"city": "GURABO",
"state": "PR",
"postal_code": "007780000",
"telephone_number": "787-220-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB VEREDAS",
"address_2": "658 CALLE CAMINO DE LOS JAZMINES",
"city": "GURABO",
"state": "PR",
"postal_code": "007780000",
"telephone_number": "787-220-9396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ-MERINO",
"first_name": "ANA",
"middle_name": "YARIS",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS LICENSE",
"identifier": "6532",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "EHR",
"affiliation": "N",
"address_1": "Urb Veredas",
"address_2": "658 Calle Camino De los Jazmines",
"city": "Gurabo",
"state": "PR",
"country_code": "US",
"postal_code": "007780000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.