Melissa Bezares, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4240 Issued in PR

Practice address

Carr #2
KM 112.2
Aguadilla, PR 00605

Phone

(787) 891-8664

Fax

(787) 891-8664

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Centro de Mejoramiento Emocional Cme

  • Clinical Psychologist
  • Aguadilla, PR
  • NPI 1902083504
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1457609117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5027",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006055027",
            "telephone_number": "787-891-8664",
            "fax_number": "787-891-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2",
            "address_2": "KM 112.2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-891-8664",
            "fax_number": "787-891-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZARES",
        "first_name": "MELISSA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Ivette Barreto, PTA
• Rafael Jose Baucage-Espinosa, EMT-P
• Francis Beauchamp-Roche, M.D.
• Because of You Therapy Services, LLC
• Better Life, Inc
• Bio-Medical Applications of Aguadilla, Inc. (Bma Aguadilla)
• Marien Blanco, D.M.D
• Luis Angel Blay, DMD
• Elba Blazquez
• Liz Bobe, MT

• Clinical Psychologist in Aguadilla, PR
• Providers in Aguadilla, 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 Aug 28, 2012; 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.