Socrayda E De Jesus, PSYD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2642 Issued in PR

Practice address

Urb Alamein
Lepanto
San Juan, PR 00926-3214

Phone

(787) 632-6794

NPI assigned

Jan 14, 2008

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Socrayda E De Jesus Other name

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1851577464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ALAMEIN",
            "address_2": "13 LEPANTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-632-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ALAMEIN",
            "address_2": "LEPANTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263214",
            "telephone_number": "787-632-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "SOCRAYDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "2642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOCRAYDA",
            "last_name": "DE JESUS",
            "middle_name": "E",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Miguel A De Jesus, MD, FAAP
• Orlando De Jesus
• Paola De Jesus
• Rachel Arlene De Jesus
• Rey Wilfredo De Jesus, S.W
• Veronica De Jesus, RN,MSN
• Wilfredo De Jesus
• Xotchyl Lanyz De Jesus, PHD
• Yoreily M De Jesus
• Giovanna De Juan-Dalmau, MS.

• Counseling Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.