Open-Mind Psychology Clinic, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OPEN-MIND PSYCHOLOGY CLINIC, LLC

Doing business as

Open-Mind Psychology Clinic

Practice address

Bo Voladoras Carr 111 KM 11.1
Moca, PR 00676

Phone

(787) 941-1692

NPI assigned

May 19, 2023

Last updated

May 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grace Marie Soto, PHD

Title

Clinical Psychologist

Phone

(787) 514-5107

Specialties & licenses 1

Addresses

Other names 1

• Open-Mind Psychology Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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.

• Grace Marie Soto-Lopez

  • Clinical Psychologist
  • Moca, PR
  • NPI 1598466328
  Medicare reassignment NPD

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1740971746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 16478",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769663",
            "telephone_number": "787-514-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO VOLADORAS CARR 111 KM 11.1",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-941-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN-MIND PSYCHOLOGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-514-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open-Mind Psychology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nillian L Guzman Laboratorio Clinico Familiar (Laboratorio Clinico Familiar)
• North Shore Emergency LLC
• Nova Healthcare Services CRL
• Yolanda Ocasio Bermudez
• Edna Rosa Ocasio, BSN
• Ed Joel Ortega Cortes, M.D.
• Anyelys Mabel Ortiz Medina
• Alberto Ortiz-Arroyo, M.D.
• Nayelis Pellot Corchado Sr.
• Karen Pellot Rosa

• Clinical Psychologist in Moca, PR
• Providers in Moca, 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 May 19, 2023; 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.