Individual provider Active NPI

Lizette Morales-Navedo, PSY

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1619203023
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3387 Issued in PR
Practice address
#1451 Ashford Ave. Suite 609
La Galeria,
San Juan, PR 00907-1567
Phone
(787) 725-8534
Fax
(787) 723-5090
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3387 PR Primary
Counseling Psychologist 103TC1900X 3387 PR

Addresses

Primary practice location

#1451 Ashford Ave. Suite 609
La Galeria,
San Juan, PR 00907-1567

Mailing address

P.O. Box 16517
San Juan, PR 00908-6517
Phone (787) 547-1636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3387PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Pedro P. Paez Gonzalez P.C.S. PastSince Sep 10, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1619203023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 16517",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009086517",
            "telephone_number": "787-547-1636",
            "fax_number": "787-723-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1451 ASHFORD AVE. SUITE 609",
            "address_2": "LA GALERIA,",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071567",
            "telephone_number": "787-725-8534",
            "fax_number": "787-723-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-NAVEDO",
        "first_name": "LIZETTE",
        "name_prefix": "Mrs.",
        "credential": "PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3387",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.