Individual provider Active NPI

Cristina Maria Perez Mitchell, PSY.D

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1699587428
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8239 Issued in PR
Practice address
42 Villa Mena
Arecibo, PR 00612-6649
Phone
(787) 236-7961
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 8239 PR Primary

Addresses

Primary practice location

42 Villa Mena
Arecibo, PR 00612-6649

Mailing address

42 Villa Mena
Arecibo, PR 00612-6649
Phone (787) 236-7961

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
I20250307001484 PR Practitioner - Clinical Psychologist 4880115765 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8239PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1699587428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 VILLA MENA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126649",
            "telephone_number": "787-236-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 VILLA MENA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126649",
            "telephone_number": "787-236-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MITCHELL",
        "first_name": "CRISTINA",
        "middle_name": "MARIA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.