Active NPI
KRS Psychologys Wellness Group LLC
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1710758941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- KRS PSYCHOLOGYS WELLNESS GROUP LLC
- Practice address
- Carretera 132 KM 22.1 Bo. Canas
Plaza Gabriela
Ponce, PR 00728 - Phone
- (787) 843-9701
- NPI assigned
- Jan 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathiayari Rodriguez Silva, PSYD
- Title
- President
- Phone
- (787) 449-5562
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
Carretera 132 KM 22.1 Bo. Canas
Plaza Gabriela
Ponce, PR 00728
Mailing address
PO Box 664
Mercedita, PR 00715-0664
Phone (787) 449-5562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Ponce, PR
- NPI 1760101851
-
- Speech-Language Pathologist
- Ponce, PR
- NPI 1043643166
-
- Colon & Rectal Surgery Physician
- Ponce, PR
- NPI 1568849230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1710758941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 664",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "007150664",
"telephone_number": "787-449-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 132 KM 22.1 BO. CANAS",
"address_2": "PLAZA GABRIELA",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-843-9701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRS PSYCHOLOGYS WELLNESS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ SILVA",
"authorized_official_first_name": "KATHIAYARI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-449-5562",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.