Organization Active NPI

Clinica de Servicios Psicologicos Y Opciones Psicoeducativas

  • Clinical Psychologist
  • Toa Baja, PR
National Provider Identifier
1588859938
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2015 Issued in PR
Legal business name
CLINICA DE SERVICIOS PSICOLOGICOS Y OPCIONES PSICOEDUCATIVAS
Practice address
2828 Ave Dos Palmas
Levittown
Toa Baja, PR 00949-4106
Phone
(787) 784-1645
Fax
(787) 795-2411
NPI assigned
Sep 10, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Juanita Morales Guzman, PH.D.
Title
President
Phone
(787) 784-1645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2015 PR Primary

Addresses

Primary practice location

2828 Ave Dos Palmas
Levittown
Toa Baja, PR 00949-4106

Mailing address

PO Box 50855
Levittown
Toa Baja, PR 00950-0855
Phone (787) 784-1645

Other names 1

  • Clinica de Servicios Psicologicos y Opciones Psicoeducativas Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1588859938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50855",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009500855",
            "telephone_number": "787-784-1645",
            "fax_number": "787-795-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 AVE DOS PALMAS",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494106",
            "telephone_number": "787-784-1645",
            "fax_number": "787-795-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SERVICIOS PSICOLOGICOS Y OPCIONES PSICOEDUCATIVAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "MORALES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-784-1645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de Servicios Psicologicos y Opciones Psicoeducativas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.