Individual provider Active NPI

Yeidee Lee Mendez Gomez, PSY.D

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1770203085
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6388 Issued in PR
Practice address
Urb. Villa Blanca
C- Aquamarina #68
Caguas, PR 00725
Phone
(787) 744-4447
NPI assigned
Aug 29, 2022
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6388 PR
Clinical Psychologist 103TC0700X 6388 PR Primary
Counseling Psychologist 103TC1900X 6388 PR

Addresses

Primary practice location

Urb. Villa Blanca
C- Aquamarina #68
Caguas, PR 00725

Mailing address

HC 2 Box 13597
Gurabo, PR 00778-9751
Phone (787) 510-1993

Other names 1

  • Dr. Yeidee Lee Mendez Gomez Professional name

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
I20241021001567 PR Practitioner - Clinical Psychologist 5799217337 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6388PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1770203085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 13597",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789751",
            "telephone_number": "787-510-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLA BLANCA",
            "address_2": "C- AQUAMARINA #68",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ GOMEZ",
        "first_name": "YEIDEE",
        "middle_name": "LEE",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6388",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6388",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEIDEE",
            "last_name": "MENDEZ GOMEZ",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.