Individual provider Active NPI

Karem Balentine

  • Counseling Psychologist
  • San Juan, PR
National Provider Identifier
1750699781
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3703 Issued in PR
Practice address
1607 Ave Ponce de Leon
Suite 301 Cobians Plaza
San Juan, PR 00909-1820
Phone
(787) 649-5189
NPI assigned
Sep 24, 2010
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3703 PR Primary

Addresses

Primary practice location

1607 Ave Ponce de Leon
Suite 301 Cobians Plaza
San Juan, PR 00909-1820

Mailing address

Calle Olmo #501 Highland Park Apartments
Apt # 502
San Juan, PR 00924
Phone (787) 649-5189

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3703PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1750699781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE OLMO #501 HIGHLAND PARK APARTMENTS",
            "address_2": "APT # 502",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-649-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AVE PONCE DE LEON",
            "address_2": "SUITE 301 COBIANS PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091820",
            "telephone_number": "787-649-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENTINE",
        "first_name": "KAREM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.