Antonio L. Berdecia-Alvarez, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3189 Issued in PR

Practice address

Carr 174 KM 0.4 Suite 105a
Olazabal Mall Mental Health Solutions of PR LLC
Bayamon, PR 00959

Phone

(787) 607-5109

NPI assigned

Apr 29, 2009

Last updated

Feb 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Solutions of Puerto Rico L.L.C

  • Clinical Psychologist
  • Bayamon, PR
  • NPI 1346655305
  Medicare reassignment NPD Authorized official
• Psychological Consulting Service PSC

  • Adult Mental Health Clinic/Center
  • Dorado, PR
  • NPI 1821236670
  NPD (past)

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1497999833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607071",
            "address_2": "PMB 21",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607071",
            "telephone_number": "787-607-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 174 KM 0.4 SUITE 105A",
            "address_2": "OLAZABAL MALL MENTAL HEALTH SOLUTIONS OF PR LLC",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-607-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDECIA-ALVAREZ",
        "first_name": "ANTONIO",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benabe Visual Clinic
• Lourdes T Benitez Concepcion, M.D.
• Fernando Benitez Muniz, OD
• Benitez Optical Services Inc
• Nomaris Benitez-Pagan, CPHT
• Miranda Kay Berger Nordelo
• Francisco Berges, PSYD
• Jose A. Bermudez Segarra, M.D.
• Ariel Eduardo Bermudez, MD
• Omariliz Bermudez, PT

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.