Active NPI
Gabriel De Jesus, PSY.D.
- Psychologist
- Bayamon, PR
National Provider Identifier
1871725150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3214
- Practice address
- Versalles U7 Calle 3a
Bayamon, PR 00959 - Phone
- (787) 244-5187
- NPI assigned
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3214 | PR | Primary |
Addresses
Primary practice location
Versalles U7 Calle 3a
Bayamon, PR 00959
Mailing address
Versalles U7 Calle 3a
Bayamon, PR 00959
Phone (787) 244-5187
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3214 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1871725150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VERSALLES U7 CALLE 3A",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-244-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VERSALLES U7 CALLE 3A",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-244-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "GABRIEL",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "3214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
- Zuleika De Jesus Rodriguez
- Kevin De Jesus Rosa, PHARMD
- Orlando Emanuel De Jesus Rosario, PSYD
- Michael Gabriel De Jesus Soto
- Demy A De Jesus, PH D
- De la Cruz Miranda Orthopedic Services PSC
- Antonio A. De la Cruz Miranda, M.D.
- Sussan Ylanairy De la Cruz Ramirez, MD
- Frances Elimar De la Cruz Torres
- Alba Estela De la Cruz-Robles, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.