Individual provider Active NPI

Iris Yolanda Vega, PSY.D.

  • Clinical Psychologist
  • Vega Alta, PR
National Provider Identifier
1699427765
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7292 Issued in PR
Practice address
Santa Rita Calle Marginal H47
Vega Alta, PR 00692
Phone
(787) 505-2022
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 7292 PR Primary

Addresses

Primary practice location

Santa Rita Calle Marginal H47
Vega Alta, PR 00692

Mailing address

Vista del Atlantico 96 Calle Mero
Arecibo, PR 00612-2919
Phone (787) 505-2022

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drairisyvegarivera@gmail.com Health Information Exchange (HIE)

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
I20220331002791 PR Practitioner - Clinical Psychologist 7911393806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7292PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmente Psicologia Y Bienestar Dra. Iris Yolanda Vega Rivera CSP Single Specialty CurrentSince Jan 1, 2022 Accepting new patients

Locations

H47 Calle Marginal
Vega Alta, PR 00692
Phone (787) 387-0974

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.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1699427765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VISTA DEL ATLANTICO 96 CALLE MERO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122919",
            "telephone_number": "787-505-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA RITA CALLE MARGINAL H47",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-505-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "IRIS",
        "middle_name": "YOLANDA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drairisyvegarivera@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "VISTA DEL ATLANTICO 96 CALLE MERO",
            "city": "ARECIBO",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006122919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.