Active NPI
Melissa Flores Roldan, PSY D
- Clinical Psychologist
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5800
- Practice address
- 2604 Blvd Luis a Ferre
Ponce, PR 00717-2107 - Phone
- (787) 844-3077
- NPI assigned
- May 18, 2007
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1780 | PR | |
| Clinical Psychologist | 103TC0700X | 5800 | PR | Primary |
Addresses
Primary practice location
2604 Blvd Luis a Ferre
Ponce, PR 00717-2107
Mailing address
Condominio Estancias del Sur Apt. 401
Ponce, PR 00731
Phone (787) 566-0681
Other practice location 1
Condominio Estancias del Sur Apartamento 401
Ponce, PR 00731
Phone (787) 566-0681
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171012002359 | PR | Practitioner - Clinical Psychologist | 9436424710 | Practice locations: Coto Laurel, PR; Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2604 Blvd Luis a Ferre
Ponce, PR 00717-2107
Phone (787) 692-7644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5800 | PR | MD | Clinical Psychologist |
| 1780 | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N & N Psychological Services | Multi-Specialty | Past | Accepting new patients |
| Servicios Clinicos Interdisciplinarios LLC | Clinical | Past | Accepting new patients |
| Centro Holistico Bienestar Mental | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Centro Holistico Para El Bienestar de la Salud Mental
- Psychiatry Physician
- Caguas, PR
- NPI 1932405255
Multi-Specialty
-
dba Instituto de Salud Integral
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ponce, PR
- NPI 1609006576
Multi-Specialty
-
- Clinical Psychologist
- Coto Laurel, PR
- NPI 1669224200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780892265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO ESTANCIAS DEL SUR APT. 401",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-566-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 BLVD LUIS A FERRE",
"city": "PONCE",
"state": "PR",
"postal_code": "007172107",
"telephone_number": "787-844-3077"
}
],
"practiceLocations": [
{
"address_1": "Condominio Estancias del Sur Apartamento 401",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "00731",
"country_code": "US",
"telephone_number": "787-566-0681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES ROLDAN",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "PSY D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "1780",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.