Active NPI
Benjamin Colucci Bisot, MS
- Clinical Psychologist
- Mayaguez, PR
National Provider Identifier
1487202198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6339
- Practice address
- Ave. de Hostos Edificio Office Park
Suite 406 (4to Piso)
Mayaguez, PR 00680 - Phone
- (787) 641-9133
- NPI assigned
- Aug 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6339 | PR | Primary |
Addresses
Primary practice location
Ave. de Hostos Edificio Office Park
Suite 406 (4to Piso)
Mayaguez, PR 00680
Mailing address
PO Box 115
Anasco, PR 00610-0115
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6339 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1487202198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "ANASCO",
"state": "PR",
"postal_code": "006100115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. DE HOSTOS EDIFICIO OFFICE PARK",
"address_2": "SUITE 406 (4TO PISO)",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-641-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLUCCI BISOT",
"first_name": "BENJAMIN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.