Rebirth Psychology Therapy Center

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

REBIRTH PSYCHOLOGY THERAPY CENTER

Practice address

445 Gonzalez Clemente Ave
Val Harbour Plaza Suite 301
Mayaguez, PR 00682

Phone

(787) 610-5821

NPI assigned

Jul 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Elsie M Rodriguez PalermoNPI 1528540861

Title

Owner

Phone

(787) 610-5821

Specialties & licenses 1

Addresses

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.

• Elsie Maria Rodriguez Palermo, PSYD, MA

  • Clinical Psychologist
  • Mayaguez, PR
  • NPI 1528540861

  Counseling

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1760044226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230043",
            "telephone_number": "787-610-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GONZALEZ CLEMENTE AVE",
            "address_2": "VAL HARBOUR PLAZA SUITE 301",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-610-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH PSYCHOLOGY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ PALERMO",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-610-5821",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Lillian Ramos, D.M.D.
• Mario Jose Ramos, MD
• Sonia J Ramos, MD
• RC Behavioral Welness LLC
• RDF,CSP
• Recinto Universitario de Mayaguez
• Raquel Marie Recio, MD
• Renal Ipa of PR LLC
• Felix Luis Rentas Bermudez, CRNA
• Keila S Resto Torres, MD

• Counseling Psychologist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.