Active NPI
Livia A. Pulichino Lelong, PHD
- Psychologist
- Guaynabo, PR
National Provider Identifier
1568914562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4926
- Practice address
- A1 Calle 6
Urb Santa Paula
Guaynabo, PR 00969 - Phone
- (787) 354-8071
- NPI assigned
- Oct 26, 2016
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4926 | PR | Primary |
Addresses
Primary practice location
A1 Calle 6
Urb Santa Paula
Guaynabo, PR 00969
Mailing address
A1 Calle 6
Urb. Santa Paula
Guaynabo, PR 00969-6616
Phone (787) 354-8071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180927003027 | PR | Practitioner - Psychologist Billing Independently | 8820112261 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4926 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1568914562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A1 CALLE 6",
"address_2": "URB. SANTA PAULA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009696616",
"telephone_number": "787-354-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A1 CALLE 6",
"address_2": "URB SANTA PAULA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-354-8071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULICHINO LELONG",
"first_name": "LIVIA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "4926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.