Emily Rosa Matos, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6701 Issued in PR

Practice address

State Road 14
Calle Sargento Gerardo Santiago #15
Aibonito, PR 00705

Phone

(787) 714-2462

NPI assigned

Oct 20, 2020

Last updated

Nov 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Emily Rosa Matos Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Centro de Salud Conductual Menonita Cima

  dba Centro de Salud Conductual Menonita CIMA - Cayey

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cayey, PR
  • NPI 1629528856
  NPD (past)
• Mennonite General Hospital Inc

  dba Centro de Salud Conductual Menonita-CIMA

  • Psychiatric Hospital
  • Aibonito, PR
  • NPI 1093942617
  NPD (past)

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1780283887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5772",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007829667",
            "telephone_number": "787-925-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROAD 14",
            "address_2": "CALLE SARGENTO GERARDO SANTIAGO #15",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-714-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA MATOS",
        "first_name": "EMILY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "6701",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "4603788",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ROSA MATOS",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rosa Rodriguez
• Arnaldo Rojas Figueroa, MD
• Ana I Rolon Merced
• Janice Rolon, HT
• Wanda D Rolon
• Melanie Rosa
• Vidal Rosario Leon, MD
• Ana Rosario Soto, LND
• Giselle Marie Rosario, MSW
• Graciela Rosario, DMD

• Clinical Psychologist in Aibonito, PR
• Providers in Aibonito, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.

Verify at the official NPI Registry.