Individual provider Active NPI

Astrid Nicole Sanchez Galarza, PHD

  • Clinical Psychologist
  • Santa Isabel, PR
National Provider Identifier
1568122471
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7267 Issued in PR
Practice address
Road 153 KM 7.3 Jauca II
Suite 10-B
Santa Isabel, PR 00757-0000
Phone
(939) 525-1961
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 7267 PR Primary

Addresses

Primary practice location

Road 153 KM 7.3 Jauca II
Suite 10-B
Santa Isabel, PR 00757-0000

Mailing address

KM HM. 7.3 Carr 153
Plaza Santa Isabel Local 10-B Bo. Jauca II
Santa Isabel, PR 00757
Phone (787) 617-8583

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230524002022 PR Practitioner - Clinical Psychologist 3678939253 Practice locations: Yauco, PR; Santa Isabel, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7267PRMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1568122471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KM HM. 7.3 CARR 153",
            "address_2": "PLAZA SANTA ISABEL LOCAL 10-B BO. JAUCA II",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-617-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 153 KM 7.3 JAUCA II",
            "address_2": "SUITE 10-B",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570000",
            "telephone_number": "939-525-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ GALARZA",
        "first_name": "ASTRID",
        "middle_name": "NICOLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2024-04-30",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.