Juan Victor Concepcion, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7332 Issued in PR

Practice address

975B Calle Jade
Hatillo, PR 00659-2603

Phone

(787) 593-5185

NPI assigned

Sep 30, 2022

Last updated

Sep 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1841914017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975B CALLE JADE",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006592603",
            "telephone_number": "787-593-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975B CALLE JADE",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006592603",
            "telephone_number": "787-593-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "JUAN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7332",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/mail/u/0/#inbox",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "975B Calle Jade",
            "city": "Hatillo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006592603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shakirah Colon Hernandez, OTR/L
• Jaquelin Colon Marin, M.D.
• Lourdes Aixa Colon, PHARMACIST
• Maria I Colon, LCDA
• Rita Y Colon
• Concepto de Salud Inc
• Consultorio Medico Dr. Obed R. Garcia Acevedo, CSP
• Orlando Cordero Nevarez, M.T.S.
• Miguel Angel Cordero Rodriguez, MD
• Enery M Cordero- Guillama, M.D.

• Clinical Psychologist in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.