Active NPI
Angelita Colon, PSY.D.
- Clinical Psychologist
- Bayamon, PR
National Provider Identifier
1750359378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1963
- Practice address
- Ave Laurel 300
Laurel Plaza
Bayamon, PR 00960 - Phone
- (787) 288-0277
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1963 | PR | Primary |
Addresses
Primary practice location
Ave Laurel 300
Laurel Plaza
Bayamon, PR 00960
Mailing address
#107 Aberdeen St
Collegeville
Guaynabo, PR 00969-4747
Phone (939) 642-7769
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P700 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 56704 | Other | PR | TRIPLE S, INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1963 | PR | MD | Clinical Psychologist |
| 1163 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1750359378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#107 ABERDEEN ST",
"address_2": "COLLEGEVILLE",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694747",
"telephone_number": "939-642-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE LAUREL 300",
"address_2": "LAUREL PLAZA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-288-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "ANGELITA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "P700",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S, INC",
"identifier": "56704",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.