Individual provider Active NPI

Ana Yaris Ortiz-Merino, MS

  • Counseling Psychologist
  • Gurabo, PR
National Provider Identifier
1447898903
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6532 Issued in PR
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

Updated by the provider on Dec 16, 2019

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 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

IdentifierTypeStateIssuer
6532OtherPRMS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EHR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
6532PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.