Individual provider Active NPI

Kathiayari Rodriguez Silva, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1760101851
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7440 Issued in PR
Practice address
Bo.Canas Carretera 132 KM 22.1
Plaza Gabriela
Ponce, PR 00728
Phone
(787) 812-3930
Fax
(787) 812-3931
NPI assigned
Aug 23, 2022
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7440 PR
Cognitive & Behavioral Psychologist 103TB0200X 7440 PR
Clinical Psychologist 103TC0700X 7440 PR Primary
Clinical Child & Adolescent Psychologist 103TC2200X 7440 NU
Group Psychotherapy Psychologist 103TP2701X 7440 PR
Health Psychologist 103TH0004X 7440 PR

Addresses

Primary practice location

Bo.Canas Carretera 132 KM 22.1
Plaza Gabriela
Ponce, PR 00728

Mailing address

PO Box 664
Mercedita, PR 00715-0664
Phone (787) 449-5562

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
I20240314000359 PR Practitioner - Clinical Psychologist 4587000476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7440PRMDGroup Psychotherapy Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
KRS Psychologys Wellness Group LLC Clinical CurrentSince Mar 1, 2024 Accepting new patients
Puerto Rico Colorectal Specialists LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1760101851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150664",
            "telephone_number": "787-449-5562",
            "fax_number": "787-812-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO.CANAS CARRETERA 132 KM 22.1",
            "address_2": "PLAZA GABRIELA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-812-3930",
            "fax_number": "787-812-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SILVA",
        "first_name": "KATHIAYARI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7440",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PR",
            "license": "7440",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7440",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": "7440",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PR",
            "license": "7440",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "PR",
            "license": "7440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.