Individual provider Active NPI

Jaime Daniel Salgado, PSYCHOLOGY

  • Counseling Psychologist
  • Caguas, PR
National Provider Identifier
1669145462
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7071 Issued in PR
Practice address
Urb. San Alfonso Calle Mis Amores D-12
Caguas, PR 00725
Phone
(787) 930-3144
NPI assigned
Jul 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 7071 PR Primary

Addresses

Primary practice location

Urb. San Alfonso Calle Mis Amores D-12
Caguas, PR 00725

Mailing address

HC 45 Box 9645
Cayey, PR 00736-9603
Phone (787) 205-0258

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaimeds2008@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822001809 PR Practitioner - Psychologist Billing Independently 3375082324 Practice locations: Cayey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7071PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Psicologico Ilo SE LLC Clinical CurrentSince Aug 13, 2023 Accepting new patients
Centro Psicologico Ilo, Inc. Clinical CurrentSince Aug 1, 2021 Accepting new patients
Ic Nutrition LLC PastSince Jan 12, 2025 Accepting new patients

Organizations & group practices 3

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1669145462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 45 BOX 9645",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369603",
            "telephone_number": "787-205-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SAN ALFONSO CALLE MIS AMORES D-12",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-930-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGADO",
        "first_name": "JAIME",
        "middle_name": "DANIEL",
        "credential": "PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-04-30",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "7071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaimeds2008@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Buena Vista Sur",
            "city": "Cayey",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.