Individual provider Active NPI

Jomaira Evelissa Ross-Casiano, PSYD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1811311566
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005585 Issued in PR
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

Updated by the provider on May 20, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729000891 PR Practitioner - Clinical Psychologist 6608169552 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005585PRMDClinical Psychologist
5585PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Psychology and Education Services PSC CurrentSince Jan 19, 2025 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.

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

Verify at the official NPI Registry.