Organization Active NPI

Centro de Terapia Psicoeducativa Retos, Corp

  • Psychologist
  • Cayey, PR
National Provider Identifier
1548599806
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2628 Issued in PR
Legal business name
CENTRO DE TERAPIA PSICOEDUCATIVA RETOS, CORP
Practice address
#149 Calle Caoba
Urb. Mansiones de Los Cedros
Cayey, PR 00736
Phone
(787) 646-9631
Fax
(787) 263-4822
NPI assigned
Dec 16, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Mrs. Aileen Blasini
Title
Psychology/Director
Phone
(787) 646-9631

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2628 PR Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 2228 PR
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 3325 PR

Addresses

Primary practice location

#149 Calle Caoba
Urb. Mansiones de Los Cedros
Cayey, PR 00736

Mailing address

Urb. Mansiones de Los Cedros
#149 Calle Caoba
Cayey, PUERTO RICO 00736
UM
Phone (787) 646-9631

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1548599806",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "URB. MANSIONES DE LOS CEDROS",
            "address_2": "#149 CALLE CAOBA",
            "city": "CAYEY",
            "state": "PUERTO RICO",
            "postal_code": "00736",
            "telephone_number": "787-646-9631",
            "fax_number": "787-263-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#149 CALLE CAOBA",
            "address_2": "URB. MANSIONES DE LOS CEDROS",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-646-9631",
            "fax_number": "787-263-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE TERAPIA PSICOEDUCATIVA RETOS, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "BLASINI",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "PSYCHOLOGY/DIRECTOR",
        "authorized_official_telephone_number": "787-646-9631",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2628",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "2228",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PR",
            "license": "3325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.