Organization Active NPI

Servicios Psicologicos Integrales Dra Haydee Enid Lopez Davila LLC

  • Psychologist
  • Canovanas, PR
National Provider Identifier
1689559130
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SERVICIOS PSICOLOGICOS INTEGRALES DRA HAYDEE ENID LOPEZ DAVILA LLC
Practice address
Local 2 Carr 188 KM 2.0 Calle 6
Canovanas, PR 00729-0697
Phone
(787) 314-7605
NPI assigned
Aug 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Dr. Haydee Enid Lopez Davila, PH.D.NPI 1851717276
Title
Psychologists
Phone
(787) 314-7605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X

Addresses

Primary practice location

Local 2 Carr 188 KM 2.0 Calle 6
Canovanas, PR 00729-0697

Mailing address

8325 Calle Belmonte
Loiza, PR 00772-9757
Phone (787) 314-7605

Other practice location 1

13 Calle La Cruz
Rio Grande, PR 00745-3022
Phone (787) 314-7605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251103001173 PR Part B Supplier - Clinic/Group Practice 8224527890 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Grande, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1689559130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 CALLE BELMONTE",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "007729757",
            "telephone_number": "787-314-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOCAL 2 CARR 188 KM 2.0 CALLE 6",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290697",
            "telephone_number": "787-314-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Calle La Cruz",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "PR",
            "postal_code": "007453022",
            "country_code": "US",
            "telephone_number": "787-314-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERVICIOS PSICOLOGICOS INTEGRALES DRA HAYDEE ENID LOPEZ DAVILA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ DAVILA",
        "authorized_official_first_name": "HAYDEE",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "PSYCHOLOGISTS",
        "authorized_official_telephone_number": "787-314-7605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 6, 2025; 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.

Verify at the official NPI Registry.