Individual provider Active NPI

Betsy L Ruiz Placido, PSY.D

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1861632242
Registry record updated Nov 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3303 Issued in PR
Practice address
Medical Center Plaza Suite 213
740 Ave Hostos
Mayaguez, PR 00680
Phone
(787) 810-3144
NPI assigned
Feb 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3303 PR Primary

Addresses

Primary practice location

Medical Center Plaza Suite 213
740 Ave Hostos
Mayaguez, PR 00680

Mailing address

PO Box 770
Hormigueros, PR 00660-0770
Phone (787) 385-9137

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110617000572 PR Practitioner - Clinical Psychologist 5890973069 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Nov 5, 2018 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Nov 5, 2018 Accepting new patients
Dra Betsy Ruiz Placido CSP Past Accepting new patients
Migrant Health Center Western Region Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447459200000",
    "number": "1861632242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600770",
            "telephone_number": "787-385-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER PLAZA SUITE 213",
            "address_2": "740 AVE HOSTOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-810-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ PLACIDO",
        "first_name": "BETSY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2015-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.