Johvannette M. Evertsz Molina, PSY.D
Individual provider Active NPI Clinical Psychologist · Anasco, PR
NPI 1831678713 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1831678713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6641 (PR)
- Practice address
- Carr #2 KM 141.5
Anasco, PR 00610 - Phone
- (787) 543-9620
- NPI assigned
- Aug 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6641 | PR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6641 | PR | Yes |
Addresses
Primary practice location
Carr #2 KM 141.5
Anasco, PR 00610
Mailing address
HC 8 Box 44693
Aguadilla, PR 00603-9722
Phone (787) 543-9620
Other practice location 1
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5511
Other providers in Anasco, PR
- Dr Osorio C.S.P
- Maribel Dupont
- Adalberto Echevarria Feliciano
- Edwards Lifesciences Technology Sarl
- Empresas Jireh, Inc.
- Family Pharmacy
- Family Pharmacy Concepts
- Family Pharmacy Concepts
- Farmacia Belmonte del Oeste Inc
- Farmacia Belmonte del Oeste Inc
All providers in Anasco, 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 Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.