Thay An Marie Vazquez-Mendez, PH D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4224 Issued in PR

Practice address

Street 111 KM 3.5
Suite #15 Edificio Vale Colon
Moca, PR 00676

Phone

(787) 551-7300

NPI assigned

Aug 21, 2012

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

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

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1790033819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760123",
            "telephone_number": "787-675-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 111 KM 3.5",
            "address_2": "SUITE #15 EDIFICIO VALE COLON",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-551-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-MENDEZ",
        "first_name": "THAY",
        "middle_name": "AN MARIE",
        "name_prefix": "Dr.",
        "credential": "PH D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionel Vargas Sr., MD
• Francisco J. Vargas
• Janet Vargas, DRA
• Milagros Vargas
• Rosa Tania Vasquez Castellanos, MD
• Tomas A Vazquez, TEM
• Yamil Vazquez, DMD
• Kathia Marie Vega Alicea, MS
• Eneida Vega Velazquez, PSICOLOGA
• Gesalle Vega, M.D.

• Clinical Psychologist in Moca, PR
• Providers in Moca, 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 Jan 3, 2024; 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.