NPIMap

Organization Active NPI

Centro de Servicios Psicologicos del Oeste

  • Counseling Psychologist
  • San German, PR
National Provider Identifier
1497984207
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1879 Issued in PR
Legal business name
CENTRO DE SERVICIOS PSICOLOGICOS DEL OESTE
Practice address
183 Ave Universidad Interamerica Ste 204
San German, PR 00683-4459
Phone
(787) 892-8868
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Wanda I Medina
Title
Psychologist
Phone
(787) 892-8868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X 1879 PR Primary

Addresses

Primary practice location

183 Ave Universidad Interamerica Ste 204
San German, PR 00683-4459

Mailing address

183 Ave Universidad Interamerica Ste 204
San German, PR 00683-4459
Phone (787) 892-8868

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1497984207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 AVE UNIVERSIDAD INTERAMERICA STE 204",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834459",
            "telephone_number": "787-892-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 AVE UNIVERSIDAD INTERAMERICA STE 204",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834459",
            "telephone_number": "787-892-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SERVICIOS PSICOLOGICOS DEL OESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-892-8868",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "1879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.