Modesto Nchez de Leon, PSICOLOGO MA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

5365 Issued in PR

Practice address

San Alfonso D12 Calle Mis Amores
Caguas, PR 00725

Phone

(787) 930-3144

NPI assigned

Sep 9, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Centro Psicologico Ilo SE LLC

  • Clinical Psychologist
  • Canovanas, PR
  • NPI 1427731538
  NPD
• Centro Psicologico Ilo, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
  • NPI 1902239114

  Psychologist

  NPD

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1730514720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN ALFONSO D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-930-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN ALFONSO D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-930-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NCHEZ DE LEON",
        "first_name": "MODESTO",
        "credential": "PSICOLOGO MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suheily Navedo Resto, MD
• Raul Alejandro Nazario Martinez
• Michelle I Nazario
• Yamil Nazario, M.S,H,
• Ncderm LLC
• NCR Chiropractic LLC
• Nefro, PSC
• Kamila Negron de Jesus
• Ivelisse Negron, PSY. D.
• Migdalia Negron, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.