Oficina de Ayuda Sicologica Y Servicios Integrados

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1710 Issued in PR

Legal business name

OFICINA DE AYUDA SICOLOGICA Y SERVICIOS INTEGRADOS

Practice address

Carr 441 Barrio Carrizales KM 2.8
Aguada, PR 00602

Phone

(787) 252-6646

Fax

(787) 252-6646

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Janice Crespo, M.A

Title

Sicologa

Phone

(787) 252-6646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528197704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4223",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054223",
            "telephone_number": "787-252-6646",
            "fax_number": "787-252-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 441 BARRIO CARRIZALES KM 2.8",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-252-6646",
            "fax_number": "787-252-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA DE AYUDA SICOLOGICA Y SERVICIOS INTEGRADOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "SICOLOGA",
        "authorized_official_telephone_number": "787-252-6646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Aguada, PR
• Providers in Aguada, 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 Aug 22, 2020; 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.