Ninoshka Caceres Carrion, PSYD
Individual provider Active NPI Clinical Psychologist · Gurabo, PR
NPI 1487460424 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1487460424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 8115 (PR)
- Practice address
- HC 3 Box 9509
Gurabo, PR 00778-8630 - Phone
- (939) 223-8298
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8115 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mente Sana LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8115 | PR | Yes |
Addresses
Primary practice location
HC 3 Box 9509
Gurabo, PR 00778-8630
Mailing address
HC 3 Box 9509
Gurabo, PR 00778-8630
Phone (939) 223-8298
Other providers in Gurabo, PR
- Jemilza Boria
- Nydia Bou
- Lisdelian Bruno
- Antonio Jose Burgos
- Luz Minerba Cabezudo
- Ricardo M Calderon Ortiz
- Ishell Y. Calzada
- Gabriel Andres Cancio Gonzalez
- Karen M Canellas Correa
- Yeyca Canuelas
All providers in Gurabo, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.