Individual provider Active NPI

Constance Johanna Chaim, PSY.D

  • Clinical Psychologist
  • Rio Piedras, PR
National Provider Identifier
1861774937
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2237 Issued in PR
Practice address
867 Ave Munoz Rivera
Ste. B 102
Rio Piedras, PR 00925-2102
Phone
(787) 466-2981
NPI assigned
Sep 15, 2011
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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 2237 PR Primary

Addresses

Primary practice location

867 Ave Munoz Rivera
Ste. B 102
Rio Piedras, PR 00925-2102

Mailing address

130 Ave Winston Churchill
Ste. 1PMB 202
Rio Piedras, PR 00926-6018
Phone (787) 466-2981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1861774937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVE WINSTON CHURCHILL",
            "address_2": "STE. 1PMB 202",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009266018",
            "telephone_number": "787-466-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 AVE MUNOZ RIVERA",
            "address_2": "STE. B 102",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009252102",
            "telephone_number": "787-466-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIM",
        "first_name": "CONSTANCE",
        "middle_name": "JOHANNA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.