NPIMap

Organization Active NPI

Centro Interdisciplinario Psicoeducativo

Doing business as Centro de Servicios Psicoeducativos

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1811139942
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
032 Issued in PR
Legal business name
CENTRO INTERDISCIPLINARIO PSICOEDUCATIVO
Doing business as
Centro de Servicios Psicoeducativos
Practice address
Urb Villa Grillasca Calle Virgelio Biaggi 906
Ponce, PR 00717
Phone
(787) 840-7928
NPI assigned
Apr 6, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah V Baez, CLINICAL PSYCHOLOGISNPI 1144432980
Title
Director
Phone
(787) 840-7928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 032 PR Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 558 PR
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 803 PR

Addresses

Primary practice location

Urb Villa Grillasca Calle Virgelio Biaggi 906
Ponce, PR 00717

Mailing address

Villa Grillasra 906 Virgilio Biaggi
Ponce, PR 00717
Phone (787) 840-7928

Other names 1

  • Centro de Servicios Psicoeducativos Doing business as

National Provider Directory

National Provider Directory

Locations

906 Calle Dr Virgilio Biaggi
Ponce, PR 00717
Phone (787) 460-2341

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1811139942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA GRILLASRA 906 VIRGILIO BIAGGI",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-840-7928",
            "fax_number": "787-290-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA GRILLASCA CALLE VIRGELIO BIAGGI 906",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-840-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO INTERDISCIPLINARIO PSICOEDUCATIVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-840-7928",
        "authorized_official_credential": "CLINICAL PSYCHOLOGIS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "032",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "558",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Servicios Psicoeducativos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 6, 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.

Verify at the official NPI Registry.