Organization Active NPI

Ypervasi CSP

  • Clinical Psychologist
  • Carolina, PR
National Provider Identifier
1609129683
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3080 Issued in PR
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

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Francheska Barreto Correa, PSYDNPI 1669619631
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3080OtherPRLIC

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.

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.

Verify at the official NPI Registry.