Active NPI
Ada Elsie Colon, PSY.D
- Clinical Psychologist
- Coamo, PR
National Provider Identifier
1780798256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2324
- Practice address
- 3 Calle Matilde Reyes de Da
Coamo, PR 00769-2348 - Phone
- (787) 803-2311
- Fax
- (787) 803-2311
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2324 | PR | Primary |
Addresses
Primary practice location
3 Calle Matilde Reyes de Da
Coamo, PR 00769-2348
Mailing address
3 Calle Matilde Reyes de Da
Coamo, PR 00769-2348
Phone (787) 803-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2324 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1780798256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CALLE MATILDE REYES DE DA",
"city": "COAMO",
"state": "PR",
"postal_code": "007692348",
"telephone_number": "787-803-2311",
"fax_number": "787-803-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CALLE MATILDE REYES DE DA",
"city": "COAMO",
"state": "PR",
"postal_code": "007692348",
"telephone_number": "787-803-2311",
"fax_number": "787-803-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "ADA",
"middle_name": "ELSIE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.