Organization Active NPI

Dr. Verdejo Behavioral Health Group, P.S.C.

  • Clinical Psychologist
  • Guaynabo, PR
National Provider Identifier
1699185751
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3971 Issued in PR
Legal business name
DR. VERDEJO BEHAVIORAL HEALTH GROUP, P.S.C.
Practice address
44 Calle Carazo
Oficina 1-C
Guaynabo, PR 00969-5603
Phone
(787) 710-4530
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Dr. Raniel M Verdejo, PH.D.NPI 1508163940
Title
Clinical Psychologist
Phone
(787) 718-4755

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 3971 PR
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 3971 PR Primary

Addresses

Primary practice location

44 Calle Carazo
Oficina 1-C
Guaynabo, PR 00969-5603

Mailing address

PO Box 192465
San Juan, PR 00919-2465
Phone (787) 718-4755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150324002177 PR Part B Supplier - Clinic/Group Practice 8325365752 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

44 Calle Carazo
Guaynabo, PR 00969
Phone (787) 718-4755

44 Calle Carazo
Ste 1C
Guaynabo, PR 00969
Phone (787) 710-4530

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": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1699185751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192465",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192465",
            "telephone_number": "787-718-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE CARAZO",
            "address_2": "OFICINA 1-C",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695603",
            "telephone_number": "787-710-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VERDEJO BEHAVIORAL HEALTH GROUP, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "VERDEJO",
        "authorized_official_first_name": "RANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-718-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PR",
            "license": "3971",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.