Glenivette Zayas-Vazquez, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5744 Issued in PR

Practice address

1 Carr Plaza Cayey
Cayey, PR 00736

Phone

(787) 679-8922

NPI assigned

Dec 13, 2016

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 NPD
• Inspira Behavioral Care Corp

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

  • Psychiatric Hospital
  • Caguas, PR
  • NPI 1265947113
  NPD
• Centro de Salud Conductual Menonita Cima

  dba Centro de Salud Conductual Menonita CIMA - Cayey

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cayey, PR
  • NPI 1629528856
  NPD (past)
• Mennonite General Hospital Inc

  dba Centro de Salud Conductual Menonita-CIMA

  • Psychiatric Hospital
  • Aibonito, PR
  • NPI 1093942617
  NPD (past)

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700320512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009702003",
            "telephone_number": "787-516-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARR PLAZA CAYEY",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-679-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 3 Box 8055",
            "address_purpose": "LOCATION",
            "city": "Barranquitas",
            "state": "PR",
            "postal_code": "007948618",
            "country_code": "US",
            "telephone_number": "787-516-1890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAYAS-VAZQUEZ",
        "first_name": "GLENIVETTE",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "005744",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-2721)
• Walgreen Co (Walgreens #677)
• Walgreen Co. (Walgreens #12650)
• Jorge Luis Weber Guzman, M.D.
• Yo Me Levantare Inc.
• Zechnas Healthcare Services LLC

• Clinical Psychologist in Cayey, PR
• Providers in Cayey, 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 Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.