Individual provider Active NPI

Thais Alejandra Fournier, PSY.D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1801231220
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
004744 Issued in PR
Practice address
Carretera 172
Urbanizacion Turabo Gardens
Caguas, PR 00726-4968
Phone
(787) 743-3038
NPI assigned
Apr 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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 004744 PR Primary

Addresses

Primary practice location

Carretera 172
Urbanizacion Turabo Gardens
Caguas, PR 00726-4968

Mailing address

303 Calle Villamil
Metro Plaza Towers Apt. 1602
San Juan, PR 00907-2829
Phone (787) 529-5554

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004744PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Escuela de Medicina San Juan Bautista Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1801231220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CALLE VILLAMIL",
            "address_2": "METRO PLAZA TOWERS APT. 1602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072829",
            "telephone_number": "787-529-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 172",
            "address_2": "URBANIZACION TURABO GARDENS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264968",
            "telephone_number": "787-743-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "THAIS",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "004744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.