Nicelia Raquel Pena, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2496 Issued in PR

Practice address

Flamboyan 237
Lajas, PR 00667

Phone

(787) 809-1835

Fax

(787) 899-5141

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicelia.pena.p1@direct.vitacare.nextgenshare.com

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.

• Bella Vista Hospital, Inc

  dba Bella Vista Family Medicine

  • Family Medicine Physician
  • Mayaguez, PR
  • NPI 1881998334

  Clinical

  Medicare reassignment NPD
• Bella Vista Hospital, Inc

  dba Bella Vista Anesthesiology Group

  • Anesthesiology Physician
  • Mayaguez, PR
  • NPI 1215827134
  NPD
• Centro de Salud de Lares, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lares, PR
  • NPI 1417907502
  NPD (past)
• Rovico Health Care Administrative and Consulting Services Inc

  dba Clinica para el Cuidado y Tratamiento de la Conducta

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lajas, PR
  • NPI 1629047105
  NPD (past)
• Rovico Healthcare Administrative and Consulting Services Inc

  dba Rovico Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aguadilla, PR
  • NPI 1679711378
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457571085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SO23 CALLE LIMA",
            "address_2": "VALLE HERMOSO",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006601230",
            "telephone_number": "787-452-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLAMBOYAN 237",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-809-1835",
            "fax_number": "787-899-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "NICELIA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Ortiz Rodriguez, M.D.
• Derek Israel Ortiz, PH.D.
• Omar Elyth Ortiz
• Paul's Ophthalmics Corp
• Paula C Servicios Dentaes, CSP
• Josaida Luz Perez Motta, MS
• Ramon Perez-Perez, M.D.
• Elliot E Perez, M.D.
• Pablo E Pons Damiani, MD
• Psicomedica del Oeste CSP

• Clinical Psychologist in Lajas, PR
• Providers in Lajas, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.