Active NPI
Neyssa L Diaz, MA
- Counseling Psychologist
- San Juan, PR
National Provider Identifier
1811515588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4103
- Practice address
- Ave. Fernandez Juncos 1306
Prda. 19
San Juan, PR 00908 - Phone
- (787) 480-3000
- NPI assigned
- Jul 9, 2020
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4103 | PR | Primary |
Addresses
Primary practice location
Ave. Fernandez Juncos 1306
Prda. 19
San Juan, PR 00908
Mailing address
R134 Calle 23
Urb. Bella Vista
Bayamon, PR 00957
Phone (787) 226-7253
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4103 | PR | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1811515588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "R134 CALLE 23",
"address_2": "URB. BELLA VISTA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-226-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. FERNANDEZ JUNCOS 1306",
"address_2": "PRDA. 19",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00908",
"telephone_number": "787-480-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "NEYSSA",
"middle_name": "L",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "4103",
"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 Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.