Active NPI
Clinica Psicologica Metanoia LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San German, PR
National Provider Identifier
1851102008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CLINICA PSICOLOGICA METANOIA LLC
- Practice address
- San German Medical Plaza
201 Carr #2 KM 174
San German, PR 00683 - Phone
- (787) 458-5095
- NPI assigned
- Jan 16, 2025
- Last updated
- Jan 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angelivette Mercado Munoz, PSYD
- Title
- Presidente
- Phone
- (787) 458-5095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
San German Medical Plaza
201 Carr #2 KM 174
San German, PR 00683
Mailing address
HC 3 Box 25718
San German, PR 00683-9353
Phone (787) 458-5095
National Provider Directory
National Provider DirectoryLocations
25718 HC 3
San German, PR 00683
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Hormigueros, PR
- NPI 1811631831
-
- Counseling Psychologist
- San German, PR
- NPI 1922812460
-
- Counseling Psychologist
- San German, PR
- NPI 1558172718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1851102008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 25718",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006839353",
"telephone_number": "787-458-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAN GERMAN MEDICAL PLAZA",
"address_2": "201 CARR #2 KM 174",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-458-5095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA PSICOLOGICA METANOIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "MERCADO MUNOZ",
"authorized_official_first_name": "ANGELIVETTE",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-458-5095",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.