Individual provider Active NPI

Lionel Cristian Mercado

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1659197101
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8199 Issued in PR
Practice address
3096 Ave Emilio Fagot
Ponce, PR 00716-4116
Phone
(939) 236-0702
NPI assigned
Dec 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 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 8199 PR Primary

Addresses

Primary practice location

3096 Ave Emilio Fagot
Ponce, PR 00716-4116

Mailing address

3096 Ave Emilio Fagot
Ponce, PR 00716-4116
Phone (939) 236-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604002176 PR Practitioner - Clinical Psychologist 7214446897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8199PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp CurrentSince Mar 29, 2025 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Mar 29, 2025 Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients

Locations

2431 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 231-5676

Organizations & group practices 4

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": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1659197101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 AVE EMILIO FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164116",
            "telephone_number": "939-236-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 AVE EMILIO FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164116",
            "telephone_number": "939-236-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "LIONEL",
        "middle_name": "CRISTIAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.