Active NPI
Paloma Purcell Baerga, PH.D.
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1548724842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6110
- Practice address
- 1519 Ave Ponce de Leon Ste 620
San Juan, PR 00909-1717 - Phone
- (787) 900-1546
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6110 | PR | Primary |
Addresses
Primary practice location
1519 Ave Ponce de Leon Ste 620
San Juan, PR 00909-1717
Mailing address
PO Box 9021445
San Juan, PR 00902-1445
Other practice location 1
377 Ave Domenech
San Juan, PR 00918-3721
Phone (787) 392-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6110 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1548724842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9021445",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009021445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 AVE PONCE DE LEON STE 620",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009091717",
"telephone_number": "787-900-1546"
}
],
"practiceLocations": [
{
"address_1": "377 Ave Domenech",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009183721",
"country_code": "US",
"telephone_number": "787-392-9990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURCELL BAERGA",
"first_name": "PALOMA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.