Active NPI
Melodie Katherine Padilla Santiago, PHD
- Clinical Psychologist
- Mayaguez, PR, PR
National Provider Identifier
1619516432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6536
- Practice address
- Calle Ramon Emeterio Betances, #392
Mayaguez, PR, PR 00681 - Phone
- (787) 805-2900
- NPI assigned
- Dec 26, 2019
- Last updated
- Dec 26, 2019
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6536 | PR | Primary |
Addresses
Primary practice location
Calle Ramon Emeterio Betances, #392
Mayaguez, PR, PR 00681
Mailing address
Urb Alturas de Penuelas 2 Calle Esmeralda 716
Penuelas, PR 00624-2313
Phone (720) 469-4590
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6536 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1619516432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB ALTURAS DE PENUELAS 2 CALLE ESMERALDA 716",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006242313",
"telephone_number": "720-469-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE RAMON EMETERIO BETANCES, #392",
"city": "MAYAGUEZ, PR",
"state": "PR",
"postal_code": "00681",
"telephone_number": "787-805-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA SANTIAGO",
"first_name": "MELODIE",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.