Active NPI
Katherine Elizabeth Velazquez, MPSY
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1689098543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05618
- Practice address
- 2.8 Carr 189
Caguas, PR 00725-6163 - Phone
- (787) 533-6833
- NPI assigned
- Feb 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05618 | PR | Primary |
| Counseling Psychologist | 103TC1900X | 005618 | PR |
Addresses
Primary practice location
2.8 Carr 189
Caguas, PR 00725-6163
Mailing address
Q1 Calle Santa Lucia
Urb. Santa Elvira
Caguas, PR 00725-3440
Phone (787) 533-6833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911001175 | PR | Practitioner - Psychologist Billing Independently | 8628518107 | Practice locations: Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05618 | PR | MD | Clinical Psychologist |
| 005618 | PR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud Emocional Familiar | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caguas, PR
- NPI 1366285215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1689098543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "Q1 CALLE SANTA LUCIA",
"address_2": "URB. SANTA ELVIRA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253440",
"telephone_number": "787-533-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2.8 CARR 189",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007256163",
"telephone_number": "787-533-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"credential": "MPSY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2024-10-07",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "05618",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "005618",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
- Daniel Esteban Velazquez Rivera, MD MPH
- Angel Manuel Velazquez-Fernandez, M.D.
- Brunilda Velazquez-Torres, PSYCHOLOGIST
- Amelia Velazquez, DMD
- Angel Manuel Velazquez, M.D.
- Luis Velazquez, MSW
- Luzmarie Edivia Velazquez, PHD
- Myrnaliz Velazquez, M.D.
- Pedro Daniel Velazquez, DC
- Roberto Velez Bermudez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.