Active NPI
Jaime Daniel Salgado, PSYCHOLOGY
- Counseling Psychologist
- Caguas, PR
National Provider Identifier
1669145462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 7071
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaimeds2008@hotmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240822001809 | PR | Practitioner - Psychologist Billing Independently | 3375082324 | Practice locations: Cayey, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7071 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Psicologico Ilo SE LLC | Clinical | Current | Accepting new patients |
| Centro Psicologico Ilo, Inc. | Clinical | Current | Accepting new patients |
| Ic Nutrition LLC | Past | 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.
-
- Clinical Psychologist
- Canovanas, PR
- NPI 1427731538
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caguas, PR
- NPI 1902239114
Clinical
-
- Registered Dietitian
- Cayey, PR
- NPI 1013727353
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.