Stephany M Ortiz Miranda Sr., PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8225 Issued in PR

Practice address

735 Ave Ponce de Leon
Torre de Auxilio Mutuo Ste 410
San Juan, PR 00917-5025

Phone

(787) 704-0705

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inspira Behavioral Care Corp

  • Clinic/Center
  • Ponce, PR
  • NPI 1548084635
  NPD
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Cidra, PR
  • NPI 1063928596

  Single Specialty

  NPD
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Humacao, PR
  • NPI 1881100311
  NPD
• Inspira Psychiatric Services PSC

  • Adult Mental Health Clinic/Center
  • San Juan, PR
  • NPI 1114972700
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1861229684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONCORDIA GRADENS I",
            "address_2": "12-C CALLE LIVORNA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-702-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE DE AUXILIO MUTUO STE 410",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175025",
            "telephone_number": "787-704-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "cobian's plaza",
            "address_2": "lm-21",
            "address_purpose": "LOCATION",
            "city": "san juan",
            "state": "PR",
            "postal_code": "00909",
            "country_code": "US",
            "telephone_number": "787-550-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "STEPHANY M",
        "middle_name": "ORTIZ",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "PR",
            "license": "15228",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Pilar Miranda, PHARMACY TECHNICIAN
• Marilynn Miranda, PH.D
• Mark Miranda
• Omar Alexis Miranda, LND
• Rene Osmin Miranda
• Yamilex Miranda, MA
• Jose Antonio Miro Ceballos, M.D.
• Angel J Miro-Diaz, MD
• Jose Francisco Miro, MD, FAAPMR
• Mirta Ortiz Ortega Cpa D/B/a Electronic Billing and Consulting Service

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Mar 4, 2025; 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.