NPIMap

Organization Active NPI

Grace Psychology Center Corporation

  • Psychologist
  • Trujillo Alto, PR
National Provider Identifier
1508289471
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5578 Issued in PR
Legal business name
GRACE PSYCHOLOGY CENTER CORPORATION
Practice address
110 Calle Borinquen
Suite 2-1
Trujillo Alto, PR 00976-5981
Phone
(787) 435-8816
NPI assigned
Jan 29, 2014
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Mrs. Amalid Roman Marquez, MA
Title
Psychologist/President
Phone
(787) 435-8816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5578 PR Primary

Addresses

Primary practice location

110 Calle Borinquen
Suite 2-1
Trujillo Alto, PR 00976-5981

Mailing address

110 Calle Borinquen
Suite 2-1
Trujillo Alto, PR 00976-5981
Phone (787) 435-8816

National Provider Directory

National Provider Directory

Locations

110 Calle Borinquen
Ste 21
Trujillo Alto, PR 00976
Phone (787) 435-8816

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1508289471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CALLE BORINQUEN",
            "address_2": "SUITE 2-1",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009765981",
            "telephone_number": "787-435-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALLE BORINQUEN",
            "address_2": "SUITE 2-1",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009765981",
            "telephone_number": "787-435-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PSYCHOLOGY CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "ROMAN MARQUEZ",
        "authorized_official_first_name": "AMALID",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "787-435-8816",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.