Active NPI
Neishlen Correa, PSC
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1629839014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7680
- Practice address
- 2162 Luis a Ferre
Urb. Villa Grillasca
Ponce, PR 00728 - Phone
- (939) 277-7262
- NPI assigned
- Jan 22, 2024
- Last updated
- Feb 3, 2025
- 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 | 7680 | PR | Primary |
Addresses
Primary practice location
2162 Luis a Ferre
Urb. Villa Grillasca
Ponce, PR 00728
Mailing address
Urb. la Rambla 1739
Calle Siervas de Maria
Ponce, PR 00730
Phone (939) 277-7262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240430004520 | PR | Practitioner - Psychologist Billing Independently | 8123468675 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7680 | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&R Behavioral Associates PSC | Psychologist | Current | Accepting new patients |
Locations
2162 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 840-1110
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1629839014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. LA RAMBLA 1739",
"address_2": "CALLE SIERVAS DE MARIA",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "939-277-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2162 LUIS A FERRE",
"address_2": "URB. VILLA GRILLASCA",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "939-277-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "NEISHLEN",
"credential": "PSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.