Individual provider Active NPI

Neishlen Correa, PSC

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1629839014
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7680 Issued in PR
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20240430004520 PR Practitioner - Psychologist Billing Independently 8123468675 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7680PRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A&R Behavioral Associates PSC Psychologist CurrentSince Jan 28, 2024 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.

Verify at the official NPI Registry.