Individual provider Active NPI

Mabel Turell Collazo

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1457084683
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7285 Issued in PR
Practice address
22 Calle Sol Ste 1
Ponce, PR 00730-3820
Phone
(787) 677-4143
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7285 PR Primary

Addresses

Primary practice location

22 Calle Sol Ste 1
Ponce, PR 00730-3820

Mailing address

Altavista 1832 Calle Clavel
Ponce, PR 00716-2933
Phone (787) 677-4143

Other practice location 1

Altavista 1832 Calle Clavel
Ponce, PR 00716-2933
Phone (787) 677-4143

Other practice location 2

Carr. 149 Parcelas Guayabal Puente Mora
Juana Diaz, PR 00795
Phone (787) 677-4143

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

State licenses

LicenseStateTypeSpecialty
7285PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1457084683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALTAVISTA 1832 CALLE CLAVEL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162933",
            "telephone_number": "787-677-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE SOL STE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303820",
            "telephone_number": "787-677-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Altavista 1832 Calle Clavel",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007162933",
            "country_code": "US",
            "telephone_number": "787-677-4143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr. 149 Parcelas Guayabal Puente Mora",
            "address_purpose": "LOCATION",
            "city": "Juana Diaz",
            "state": "PR",
            "postal_code": "00795",
            "country_code": "US",
            "telephone_number": "787-677-4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURELL COLLAZO",
        "first_name": "MABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.