NPIMap

Organization Active NPI

Continuum Mental Care Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fajardo, PR
National Provider Identifier
1740223973
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
07B2410 Issued in PR
Legal business name
CONTINUUM MENTAL CARE CORP
Practice address
55 Calle del Carmen W
Fajardo, PR 00738
Phone
(787) 860-3558
Fax
(787) 860-7066
NPI assigned
Jun 14, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CONTINUUM MENTAL CARE CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ivia I Pacheco Collado, MBA
Title
Director Administrator
Phone
(787) 860-3558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 07B2410 PR Primary

Addresses

Primary practice location

55 Calle del Carmen W
Fajardo, PR 00738

Mailing address

55 Calle del Carmen W
Fajardo, PR 00738
Phone (787) 860-3558

Other practice location 1

114 Calle Luis Munoz Rivera
Vieques, PR 00765-3042
Phone (787) 903-2878

Other practice location 2

B2 Calles 3 Bo Cienaga Baja
Rio Grande, PR 00745
Phone (787) 903-2877

Other practice location 3

375 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 860-3558

Other identifiers 3

IdentifierTypeStateIssuer
038127904MedicaidPR
038127903MedicaidPR
039354800MedicaidPR

Other names 1

  • Centro CHAI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061020000367 PR Part B Supplier - Clinic/Group Practice 3678579364 Receives reassigned benefits from 4 practitioners
Practice locations: Fajardo, PR; Vieques, PR

National Provider Directory

National Provider Directory
Tax ID family
Continuum Mental Care Corp2 organizations share this tax ID, including this one
Part of
Continuum Mental Care Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

375 Ave General Valero
Fajardo, PR 00738
Phone (787) 556-1587

114 Calle Munoz Rivera
Vieques, PR 00765
Phone (787) 741-8569

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1740223973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE DEL CARMEN W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DEL CARMEN W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Calle Luis Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Vieques",
            "state": "PR",
            "postal_code": "007653042",
            "country_code": "US",
            "telephone_number": "787-903-2878",
            "fax_number": "787-860-7066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "B2 Calles 3 Bo Cienaga Baja",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "PR",
            "postal_code": "00745",
            "country_code": "US",
            "telephone_number": "787-903-2877",
            "fax_number": "787-860-7066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Ave Osvaldo Molina",
            "address_purpose": "LOCATION",
            "city": "Fajardo",
            "state": "PR",
            "postal_code": "00738",
            "country_code": "US",
            "telephone_number": "787-860-3558",
            "fax_number": "787-860-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONTINUUM MENTAL CARE CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTINUUM MENTAL CARE CORP",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "PACHECO COLLADO",
        "authorized_official_first_name": "IVIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR ADMINISTRATOR",
        "authorized_official_telephone_number": "787-860-3558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "07B2410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038127904",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038127903",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039354800",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro CHAI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Centro CHAI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.