Innovative Psychiatric Group, PSC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

INNOVATIVE PSYCHIATRIC GROUP, PSC

Practice address

BF4 Calle la Pinta
Urb Bairoa
Caguas, PR 00725

Phone

(787) 539-2681

Fax

(787) 961-3920

NPI assigned

Jan 30, 2006

Last updated

Mar 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Frances Y Marcano

Title

Facturadora

Phone

(787) 380-1377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Benjamin Del Valle Rodriguez, MD

  • Psychiatry Physician
  • Caguas, PR
  • NPI 1811968894
  Medicare reassignment Care Compare group
• Jorge Luis Santiago Colon, MD

  • Psychiatry Physician
  • San Juan, PR
  • NPI 1134106701
  Medicare reassignment Care Compare group
• Jonathan Fernandez, PSY.D.

  • Clinical Psychologist
  • Carolina, PR
  • NPI 1023314614
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1851362735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J14 CALLE 16",
            "address_2": "URB CIUDAD UNIVERSITARIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763124",
            "telephone_number": "787-539-2681",
            "fax_number": "787-961-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BF4 CALLE LA PINTA",
            "address_2": "URB BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-539-2681",
            "fax_number": "787-961-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PSYCHIATRIC GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "MARCANO",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FACTURADORA",
        "authorized_official_telephone_number": "787-380-1377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Innovative Cardiology Center LLC
• Innovative GYN P.S.C.
• Inpatient Medical Services PR LLC
• Insight Optical
• Insight Optical
• Inspira Behavioral Care Corp.
• Inspira Behavioral Care Corp.

• Psychiatry Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.