Astrid Erismann-Dubocq, PHD
Individual provider Active NPI Clinical Psychologist · Cayey, PR
NPI 1831666080 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1831666080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6051 (PR)
- Practice address
- Hospital Menonita Cima
Plaza Cayey Montellanos
Cayey, PR 00736-3801 - Phone
- (787) 664-1074
- NPI assigned
- Oct 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6051 | PR | MD | Cardiovascular Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6051 | PR | Yes |
Addresses
Primary practice location
Hospital Menonita Cima
Plaza Cayey Montellanos
Cayey, PR 00736-3801
Mailing address
PO Box 3681
Guaynabo, PR 00970-3681
Phone (787) 664-1074
Other providers in Cayey, PR
- Ecb Cayey Corp
- Arleen Y Echeandia-Feo
- Edna Y Arguinzoni
- Emv,LLC Optica Esmerlda
- Epy Cita Medica
- Escucha PSC
- Maralys Nanette Esparra Gonzalez
- Kevin Nick Espinal
- Eye Optical Service & Management Group
- Eye Optical Services & Management Group Inc
All providers in Cayey, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.