Individual provider Active NPI

Yarette Elizabeth Perez-Babin, PSY D

  • Clinical Psychologist
  • Quebradillas, PR
National Provider Identifier
1477852226
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3920 Issued in PR
Practice address
98 Calle Jose Linares
Quebradillas, PR 00678-1902
Phone
(787) 212-5164
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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 3920 PR Primary

Addresses

Primary practice location

98 Calle Jose Linares
Quebradillas, PR 00678-1902

Mailing address

PO Box 1018
Quebradillas, PR 00678-1018
Phone (787) 212-5164

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150420001053 PR Practitioner - Clinical Psychologist 2062730237 Practice locations: Quebradillas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quebradillas Medical Center PSC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yarette.perezbabin.p1@direct.vitacare.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1477852226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781018",
            "telephone_number": "787-212-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CALLE JOSE LINARES",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781902",
            "telephone_number": "787-212-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-BABIN",
        "first_name": "YARETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

Verify at the official NPI Registry.