Individual provider Active NPI

Maria E. Jimenez, PSY.D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1669794335
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3572 Issued in PR
Practice address
Cond Condado
607
San Juan, PR 00907-3808
Phone
(787) 226-6447
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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 3572 PR Primary

Addresses

Primary practice location

Cond Condado
607
San Juan, PR 00907-3808

Mailing address

Blvd Media Luna
Apto 1606
Carolina, PR 00987-5135
Phone (787) 226-6447

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
I20200819000139 PR Practitioner - Clinical Psychologist 1355767542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3572PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince May 13, 2020 Accepting new patients
Inspira Behavioral Care Corp CurrentSince May 13, 2020 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Instituto Psicoterapeutico de PR PastSince May 13, 2020 Accepting new patients
Aps Clinics of Puerto Rico, Inc. Past Accepting new patients

Organizations & group practices 5

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": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1669794335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLVD MEDIA LUNA",
            "address_2": "APTO 1606",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009875135",
            "telephone_number": "787-226-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND CONDADO",
            "address_2": "607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073808",
            "telephone_number": "787-226-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARIA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.