Active NPI
Ypervasi CSP
- Clinical Psychologist
- Carolina, PR
National Provider Identifier
1609129683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3080
- Legal business name
- YPERVASI CSP
- Practice address
- Carr 857 KM0.4 Bo Canovanillas
Carolina, PR 00987-0000 - Phone
- (787) 776-3840
- Fax
- (787) 276-2923
- NPI assigned
- Oct 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francheska Barreto Correa, PSYD
- Title
- President
- Phone
- (787) 646-5397
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3080 | PR | Primary |
Addresses
Primary practice location
Carr 857 KM0.4 Bo Canovanillas
Carolina, PR 00987-0000
Mailing address
Lomas de Carolina D32
Calle Monte Membrillo
Carolina, PR 00987-0000
Phone (787) 646-5397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3080 | Other | PR | LIC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Carolina, PR
- NPI 1669619631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1609129683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOMAS DE CAROLINA D32",
"address_2": "CALLE MONTE MEMBRILLO",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009870000",
"telephone_number": "787-646-5397",
"fax_number": "787-276-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 857 KM0.4 BO CANOVANILLAS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009870000",
"telephone_number": "787-776-3840",
"fax_number": "787-276-2923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YPERVASI CSP",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "BARRETO CORREA",
"authorized_official_first_name": "FRANCHESKA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-646-5397",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "3080",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.