Active NPI
Lizeyla Esther Nicolau
- Psychologist
- Canovanas, PR
National Provider Identifier
1679203947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7400
- Practice address
- 10 Villa Tiro
716
Canovanas, PR 00729 - Phone
- (787) 206-5967
- NPI assigned
- Jun 10, 2022
- Last updated
- Apr 30, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7400 | PR | Primary |
Addresses
Primary practice location
10 Villa Tiro
716
Canovanas, PR 00729
Mailing address
184 Calle Falcon
Rio Grande, PR 00745-9657
Phone (787) 206-5967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7400 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Psicologico Y Terapeutico Para la Familia Encuentro | Current | Accepting new patients | |
| Centro Psicologico Y Terapeutico Para la Familia Encuentro | Psychologist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba Centro Psicologico y Terapeutico para la Familia, Encuentro Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rio Grande, PR
- NPI 1265205835
-
- Psychologist
- Carolina, PR
- NPI 1396680070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1679203947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 CALLE FALCON",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007459657",
"telephone_number": "787-206-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 VILLA TIRO",
"address_2": "716",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-206-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAU",
"first_name": "LIZEYLA",
"middle_name": "ESTHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2024-04-30",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "7400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canovanas, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.