Individual provider Active NPI

Charlenne Rodriguez Figueroa

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1740907195
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8270 Issued in PR
Practice address
175 Ave Hostos Apt 406
San Juan, PR 00918-4200
Phone
(787) 458-0194
NPI assigned
Oct 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8270 PR Primary

Addresses

Primary practice location

175 Ave Hostos Apt 406
San Juan, PR 00918-4200

Mailing address

175 Ave Hostos Apt 406
San Juan, PR 00918-4200
Phone (787) 458-0194

Other identifiers 1

IdentifierTypeStateIssuer
498312131OtherPRPASSPORT

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250214002364 PR Practitioner - Clinical Psychologist 2365972668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Behavioral Care CorpGroup PAC ID 5294863262, 20 clinicians

Practice addresses (Care Compare)

435 Ave Hostos
San Juan, PR 00918-3014
Phone (787) 704-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8270PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Nov 25, 2024 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Nov 25, 2024 Accepting new patients
Inspira Psychiatric Services PSC Past Accepting new patients
Instituto Psicoterapeutico de PR PastSince Nov 25, 2024 Accepting new patients

Locations

431 Ave Hostos
San Juan, PR 00918
Phone 7877040705 ext. 347

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1740907195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 AVE HOSTOS APT 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184200",
            "telephone_number": "787-458-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 AVE HOSTOS APT 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184200",
            "telephone_number": "787-458-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ FIGUEROA",
        "first_name": "CHARLENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "498312131",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.