Carissa Melendez, M.S

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3333 Issued in PR

Practice address

Carretera 866 KM 1.1 Lote 51 Bo. Candelaria
Toa Baja, PR 00949-0094

Phone

(787) 200-8858

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By 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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Foundation of Puerto Rico Inc.Group PAC ID 6002046786, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Community Health Foundation of Puerto Rico, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1881016020
  Medicare reassignment Care Compare group NPD
• Community Health Foundation of Puerto Rico, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayamon, PR
  • NPI 1114626991
  NPD

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1457796849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1792",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009511792",
            "telephone_number": "787-200-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 866 KM 1.1 LOTE 51 BO. CANDELARIA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009490094",
            "telephone_number": "787-200-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "CARISSA",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanira Medina Claudio, MD
• Juan Carlos Medina Colon
• Giovanna Medina, RN
• Sheila Medina
• Angel L. Melendez
• Erika Melendez, PHT.
• Keren Isabel Melendez
• Marco Antonio Melendez, P.T
• Lesly A Mendez, CPL
• Mariel Mendoza Robles, M.A.

• Psychologist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.