Ivelisse Negron, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2770 Issued in PR

Practice address

200 Ave Rafael Cordero
Ste. 140 PMB 103
Caguas, PR 00725-3740

Phone

(787) 743-0709

Fax

(787) 745-2992

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspira Behavioral Care CorpGroup PAC ID 5294863262, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Cidra, PR
  • NPI 1063928596
  Medicare reassignment Care Compare group NPD
• Danzares, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
  • NPI 1982869673
  NPD (past) Authorized official
• Inspira Behavioral Care Corp

  • Clinic/Center
  • Ponce, PR
  • NPI 1548084635
  NPD
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Coamo, PR
  • NPI 1679075212
  NPD
• Inspira Behavioral Care Corp.

  • Psychiatric Hospital
  • Caguas, PR
  • NPI 1265947113
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1700052875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE RAFAEL CORDERO",
            "address_2": "STE. 140 PMB 103",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253740",
            "telephone_number": "787-743-0709",
            "fax_number": "787-745-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE RAFAEL CORDERO",
            "address_2": "STE. 140 PMB 103",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253740",
            "telephone_number": "787-743-0709",
            "fax_number": "787-745-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ncderm LLC
• Modesto Nchez de Leon, PSICOLOGO MA
• NCR Chiropractic LLC
• Nefro, PSC
• Kamila Negron de Jesus
• Migdalia Negron, M.A.
• Sandra Karina Negron
• Alma Raquel Negroni, PH-L
• Neoera Servicios Medicos CSP
• Marian Jeanette Neris Aponte I, 7457

• Clinical Psychologist in Caguas, PR
• Providers in Caguas, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.