Individual provider Active NPI

Kalitza Baerga, PH.D

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1497004170
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1885 Issued in PR
Practice address
317B Calle Columbia
University Gardens
San Juan, PR 00927-4019
Phone
(787) 287-7030
Fax
(787) 287-4880
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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 1885 PR Primary

Addresses

Primary practice location

317B Calle Columbia
University Gardens
San Juan, PR 00927-4019

Mailing address

317B Calle Columbia
University Gardens
San Juan, PR 00927-4019
Phone (787) 287-7030

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1885PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1497004170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317B CALLE COLUMBIA",
            "address_2": "UNIVERSITY GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274019",
            "telephone_number": "787-287-7030",
            "fax_number": "787-287-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317B CALLE COLUMBIA",
            "address_2": "UNIVERSITY GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274019",
            "telephone_number": "787-287-7030",
            "fax_number": "787-287-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERGA",
        "first_name": "KALITZA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.