Active NPI
Waleska Maldonado, PH.D, MRC
- Clinical Psychologist
- Bayamon, PR
National Provider Identifier
1871135749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6664
- Practice address
- 68 Calle Esteban Padilla
Bayamon, PR 00959-6705 - Phone
- (939) 248-3845
- NPI assigned
- Oct 12, 2019
- 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 |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 1363 | ||
| Clinical Psychologist | 103TC0700X | 6664 | PR | Primary |
Addresses
Primary practice location
68 Calle Esteban Padilla
Bayamon, PR 00959-6705
Mailing address
HC 91 Box 9178
Vega Alta, PR 00692-9675
Phone (939) 248-3845
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6664 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1871135749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 91 BOX 9178",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006929675",
"telephone_number": "939-248-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CALLE ESTEBAN PADILLA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009596705",
"telephone_number": "939-248-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "WALESKA",
"name_prefix": "Dr.",
"credential": "PH.D, MRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-12",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": "1363",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.