Individual provider Active NPI

Stephanie Hernandez Torres, PSY.D

  • Clinical Psychologist
  • Isabela, PR
National Provider Identifier
1699372797
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6650 Issued in PR
Practice address
7172 Ave Agustin Ramos Calero
Isabela, PR 00662-3467
Phone
(787) 317-8962
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6650 PR Primary

Addresses

Primary practice location

7172 Ave Agustin Ramos Calero
Isabela, PR 00662-3467

Mailing address

RR 2 Box 6964
Manati, PR 00674-9883
Phone (787) 317-8962

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
I20220718003959 PR Practitioner - Clinical Psychologist 9931580255 Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6650PRMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Mente Genial LLC CurrentSince Aug 1, 2023 Accepting new patients
Centro Psicoterapeutico Respira Clinical CurrentSince Feb 26, 2023 Accepting new patients

Locations

7172 Ave Sfc Agustin Ramos Calero
Isabela, PR 00662
Phone (787) 317-8962

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1699372797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 6964",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749883",
            "telephone_number": "787-317-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7172 AVE AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623467",
            "telephone_number": "787-317-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ TORRES",
        "first_name": "STEPHANIE",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.