Active NPI
Adriana T. Amadeo Vissepo, MPSY
- School Psychologist
- San Juan, PR
National Provider Identifier
1497409601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 6729
- Practice address
- Carr. #19 KM. 0.6 Monacillo
San Juan, PR 00920 - Phone
- (787) 783-2226
- NPI assigned
- Feb 7, 2022
- Last updated
- Feb 7, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 6729 | PR | Primary |
Addresses
Primary practice location
Carr. #19 KM. 0.6 Monacillo
San Juan, PR 00920
Mailing address
2 Valle Escondido
Guaynabo, PR 00971-8000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6729 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1497409601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 VALLE ESCONDIDO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009718000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. #19 KM. 0.6 MONACILLO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-783-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADEO VISSEPO",
"first_name": "ADRIANA",
"middle_name": "T.",
"credential": "MPSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "6729",
"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 Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.