Brian Mercado Ruiz, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7196 Issued in PR

Practice address

Carr 119 KM 5.5 Interior, Bo. Puente
Camuy, PR 00627-0062

Phone

(787) 644-0743

NPI assigned

Aug 11, 2022

Sex

Male

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

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 and National Provider Directory roles.

• Mercado Roman Psychology Group PSC

  • Psychologist
  • Camuy, PR
  • NPI 1093415390
  Medicare reassignment NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1700514221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CALLE HELIO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006128866",
            "telephone_number": "787-454-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 119 KM 5.5 INTERIOR, BO. PUENTE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270062",
            "telephone_number": "787-644-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO RUIZ",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itamar Mendez, OTR/L
• Meraki Clinica Quiropracitca
• Xiomara Mercado Moya, PHL
• Amanda Zoe Mercado Rojas, MS
• Mercado Roman Psychology Group PSC
• Luz Omayra Mercado, MSW
• Mildred Machado Morell
• Mme Psychology LLC
• David Molina Gonzalez, GP
• David Molina Gonzalez, M.D

• Clinical Psychologist in Camuy, PR
• Providers in Camuy, 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 Jul 26, 2023; 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.