Individual provider Active NPI

Yaritza M. Colon Melendez, PH.D.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1770871964
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3994 Issued in PR
Practice address
608A Ave Escorial
San Juan, PR 00920-4719
Phone
(939) 644-0344
NPI assigned
Jul 21, 2011
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 3994 PR Primary

Addresses

Primary practice location

608A Ave Escorial
San Juan, PR 00920-4719

Mailing address

Portales de Alheli 2050
Carr 8177 Apto 601
Guaynabo, PR 00966
Phone (939) 644-0344

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
I20200226002381 PR Practitioner - Clinical Psychologist 6507293800 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3994PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arboleda Instituto Clinico Y Terapeutico CurrentSince Jan 1, 2015 Accepting new patients

Locations

608 Ave Escorial
#A
San Juan, PR 00920
Phone (939) 644-0344

Organizations & group practices 1

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1770871964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PORTALES DE ALHELI 2050",
            "address_2": "CARR 8177 APTO 601",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "939-644-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608A AVE ESCORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204719",
            "telephone_number": "939-644-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MELENDEZ",
        "first_name": "YARITZA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.