Island Therapy Collective LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ISLAND THERAPY COLLECTIVE LLC

Practice address

231 Calle Amapola
San German, PR 00683-9011

Phone

(787) 432-8085

NPI assigned

Jan 10, 2025

Organization subpart

No

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

Authorized official

Name

Javier Robledo Rivera, PSYDNPI 1689446213

Title

Clinical Director

Phone

(787) 432-9085

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR, OH2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javier Robledo Rivera, PSYD

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1689446213

  PR

  Medicare reassignment NPD Authorized official
• Jose Francisco Aviles-Acosta, PSYD

  • Clinical Psychologist
  • San German, PR
  • NPI 1235863275

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1851101935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CALLE AMAPOLA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839011",
            "telephone_number": "787-432-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CALLE AMAPOLA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839011",
            "telephone_number": "787-432-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO RIVERA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "787-432-9085",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Isaac Irizarry Nieves, MD
• Ana Ivette Irizarry-Toro, MA
• Daniel A Irizarry
• Ronaldo Irizarry, M.D.
• Tayliss Irizarry
• Ivette L Cruz Rivera
• Julio Enrique Izquierdo-Rivera, MD
• JB Global Medics Inc
• Cecilia Marian Jimenez Figueroa, PHARMD
• Aloysio Gribel Junqueira, DDS

• Clinical Psychologist in San German, PR
• Providers in San German, 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 Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.