Mitchlery Cardona Jimenez, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

Vega Alta
VA, PR 00692

Phone

(787) 403-7416

NPI assigned

Mar 10, 2017

Last updated

Jul 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Puerto Rico School of Medicine, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Mindful Care LLC

  • Psychologist
  • Vega Baja, PR
  • NPI 1194615039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1700327798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ESTACIN 1-B PMB 131",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VEGA ALTA",
            "city": "VA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-403-7416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vega Alta",
            "address_purpose": "LOCATION",
            "city": "VA",
            "state": "PR",
            "postal_code": "00692",
            "country_code": "US",
            "telephone_number": "787-403-7416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PLAZA DEL MERCADO",
            "address_2": "149 CALLE RAMON EMETERIO BETANCES",
            "address_purpose": "LOCATION",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "country_code": "US",
            "telephone_number": "787-210-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA JIMENEZ",
        "first_name": "MITCHLERY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.