Individual provider Active NPI

Meralys Rodriguez Rodriguez Montanez, PSY.D

  • Clinical Psychologist
  • Vega Baja, PR
National Provider Identifier
1801498068
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6566 Issued in PR
Practice address
Parcelas Amadeo #25
Calle Fabian Montanez
Vega Baja, PR 00693-5237
Phone
(787) 407-1227
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 6566 PR Primary

Addresses

Primary practice location

Parcelas Amadeo #25
Calle Fabian Montanez
Vega Baja, PR 00693-5237

Mailing address

Parcelas Amadeo #25
Calle Fabian Montanez
Vega Baja, PR 00693-5237
Phone (787) 407-1227

Other identifiers 1

IdentifierTypeStateIssuer
6566MedicaidPR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221000559 PR Practitioner - Clinical Psychologist 5890215990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Foundation of Puerto Rico, Inc. CurrentSince Jan 15, 2025 Accepting new patients
Community Health Foundation of Puerto Rico, Inc. CurrentSince Jan 15, 2025 Accepting new patients

Organizations & group practices 2

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1801498068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARCELAS AMADEO #25",
            "address_2": "CALLE FABIAN MONTANEZ",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935237",
            "telephone_number": "787-407-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARCELAS AMADEO #25",
            "address_2": "CALLE FABIAN MONTANEZ",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935237",
            "telephone_number": "787-407-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MONTANEZ",
        "first_name": "MERALYS",
        "middle_name": "RODRIGUEZ",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6566",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.