Active NPI
Jomaira Evelissa Ross-Casiano, PSYD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1811311566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005585
- Practice address
- Cond. San Martin #1605 Av. Ponce de Leon Oficina 703
San Juan, PR 00909 - Phone
- (787) 944-5477
- NPI assigned
- Feb 14, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005585 | PR | Primary |
Addresses
Primary practice location
Cond. San Martin #1605 Av. Ponce de Leon Oficina 703
San Juan, PR 00909
Mailing address
105 El Dorado CLB
Vega Alta, PR 00692-8824
Phone (787) 944-5477
Other practice location 1
Carr 358 KM. 2.1 Int Hoconuco Bajo
San German, PR 00683
Phone (787) 458-3413
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 |
|---|---|---|---|---|
| I20160729000891 | PR | Practitioner - Clinical Psychologist | 6608169552 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005585 | PR | MD | Clinical Psychologist |
| 5585 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross Psychology and Education Services PSC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Psychologist
- San German, PR
- NPI 1730990912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1811311566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 EL DORADO CLB",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006928824",
"telephone_number": "787-944-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. SAN MARTIN #1605 AV. PONCE DE LEON OFICINA 703",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-944-5477"
}
],
"practiceLocations": [
{
"address_1": "CARR 358 KM. 2.1 INT HOCONUCO BAJO",
"address_purpose": "LOCATION",
"city": "San German",
"state": "PR",
"postal_code": "00683",
"country_code": "US",
"telephone_number": "787-458-3413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS-CASIANO",
"first_name": "JOMAIRA",
"middle_name": "EVELISSA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "005585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.