Individual provider Active NPI

Jessica Morales Acevedo, PSYD, MSW

  • Clinical Psychologist
  • Aguada, PR
National Provider Identifier
1679230437
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7392 Issued in PR
Practice address
195 Calle la Paz
Centro de Usos Multiples
Aguada, PR 00602-3228
Phone
(939) 370-0728
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7392 PR Primary
Clinical Social Worker 1041C0700X 11431 PR

Addresses

Primary practice location

195 Calle la Paz
Centro de Usos Multiples
Aguada, PR 00602-3228

Mailing address

HC 59 Box 6714
Aguada, PR 00602-9639
Phone (939) 370-0728

Other practice location 1

Carr # 2 Naranjo km 137.5
Aguada, PR 00602-0060
Phone (939) 370-0728

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
I20230106000066 PR Practitioner - Clinical Psychologist 2466822135 Practice locations: Aguada, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11431PRMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1679230437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 59 BOX 6714",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029639",
            "telephone_number": "939-370-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CALLE LA PAZ",
            "address_2": "CENTRO DE USOS MULTIPLES",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023228",
            "telephone_number": "939-370-0728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr # 2 Naranjo km 137.5",
            "address_purpose": "LOCATION",
            "city": "Aguada",
            "state": "PR",
            "postal_code": "006020060",
            "country_code": "US",
            "telephone_number": "939-370-0728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES ACEVEDO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSYD, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7392",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.