Individual provider Active NPI

Grace M. Vinas Joy, PSYD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1760804306
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5624 Issued in PR
Practice address
150 Avenida de Diego
San Juan Health Centre, Suite 401B
San Juan, PR 00907
Phone
(787) 422-8685
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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 5624 PR Primary

Addresses

Primary practice location

150 Avenida de Diego
San Juan Health Centre, Suite 401B
San Juan, PR 00907

Mailing address

150 Avenida de Diego
San Juan Health Centre, Suite 401B
San Juan, PR 00907
Phone (787) 422-8685

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
I20140402000830 PR Practitioner - Clinical Psychologist 5294966396 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ponce School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Ave de Diego
Suite 407
San Juan, PR 00907-2398
Phone (787) 422-8685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Dec 29, 2014 Accepting new patients
Recinto de Ciencias Medicas Psychologist CurrentSince Dec 29, 2014 Accepting new patients

Locations

Centro Medico De Puerto Rico Bo Monacillos
San Juan, PR 00935

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1760804306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 AVENIDA DE DIEGO",
            "address_2": "SAN JUAN HEALTH CENTRE, SUITE 401B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-422-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVENIDA DE DIEGO",
            "address_2": "SAN JUAN HEALTH CENTRE, SUITE 401B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-422-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINAS JOY",
        "first_name": "GRACE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.