Active NPI
Kathiayari Rodriguez Silva, PSYD
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1760101851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7440
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7440 | PR | MD | Group Psychotherapy Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KRS Psychologys Wellness Group LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Ponce, PR
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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
- Marileana Rodriguez Ruiz
- Eduardo Rodriguez Santiago, 1562B
- Paola Andrea Rodriguez Santiago
- Carlos Roberto Rodriguez Serrano
- Jetsen Amaury Rodriguez Silva, MD
- Araceli Rodriguez Soto, MD
- Nashali Ivette Rodriguez Soto
- Genesis Rodriguez Torres
- Ivan G Rodriguez Torres, BS, DC
- Yalisse Linette Rodriguez Torres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.