Individual provider Active NPI

Carlos Alberto Colon, PSY.D

  • Clinical Psychologist
  • Bayamon, PR
National Provider Identifier
1760803175
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5410 Issued in PR
Practice address
T2 Calle 1a
Reparto Valencia
Bayamon, PR 00959-3732
Phone
(787) 397-1270
NPI assigned
Jan 2, 2014
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5410 PR Primary

Addresses

Primary practice location

T2 Calle 1a
Reparto Valencia
Bayamon, PR 00959-3732

Mailing address

T2 Calle 1a
Reparto Valencia
Bayamon, PR 00959-3732
Phone (787) 397-1270

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
I20140924000844 PR Practitioner - Clinical Psychologist 2264651215 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Centro Psicologico Ilo, IncGroup PAC ID 6103146923, 3 clinicians

Practice addresses (Care Compare)

D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone (787) 930-3144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Jan 11, 2016 Accepting new patients
Cossma Inc CurrentSince Jan 11, 2016 Accepting new patients
Centro Psicologico Ilo, Inc. Psychologist CurrentSince Feb 4, 2015 Accepting new patients
Centro Psicologico Ilo SE LLC Psychologist PastSince Aug 13, 2023 Accepting new patients

Locations

186 Calle Munoz Rivera S
#Y
San Lorenzo, PR 00754

Organizations & group practices 4

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1760803175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "T2 CALLE 1A",
            "address_2": "REPARTO VALENCIA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009593732",
            "telephone_number": "787-397-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "T2 CALLE 1A",
            "address_2": "REPARTO VALENCIA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009593732",
            "telephone_number": "787-397-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.