Active NPI
Priscille M Joglar Pagan, PSYD
- Clinical Psychologist
- Arcadia, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2553
- Practice address
- 725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752 - Phone
- (863) 494-1242
- Fax
- (863) 491-0466
- NPI assigned
- Mar 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 2553 | PR | Primary |
Addresses
Primary practice location
725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752
Mailing address
PO Box 9022917
San Juan, PR 00902-2917
Phone (939) 218-7262
Other practice location 1
Ea4 Calle Rosa De Tejas
Urb La Rosaleda
Toa Baja, PR 00949-4721
Phone (939) 218-7262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2553 | PR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Wellbeing LLC | Psychologist | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Psychologistic | Clinical | Past | Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
608 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 971-7084
3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Clinical Psychologist
- Toa Baja, PR
- NPI 1063779155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1861469140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9022917",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009022917",
"telephone_number": "939-218-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 N 12TH AVE BLDG B",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668752",
"telephone_number": "863-494-1242",
"fax_number": "863-491-0466"
}
],
"practiceLocations": [
{
"address_1": "Ea4 Calle Rosa De Tejas",
"address_2": "Urb La Rosaleda",
"address_purpose": "LOCATION",
"city": "Toa Baja",
"state": "PR",
"postal_code": "009494721",
"country_code": "US",
"telephone_number": "939-218-7262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOGLAR PAGAN",
"first_name": "PRISCILLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-05",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.