Active NPI
Sendero Educativo, LLC
- Group Psychotherapy Psychologist
- Canovanas, PR
National Provider Identifier
1881239614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- SENDERO EDUCATIVO, LLC
- Practice address
- Canovanas Mall Enrique Mangual Local #14
Carr. 185 KM. 1.0
Canovanas, PR 00729 - Phone
- (787) 382-7319
- NPI assigned
- Nov 15, 2019
- Last updated
- Feb 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yaritza Semidey
- Title
- Presidente
- Phone
- (787) 382-7319
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | Primary | ||
| Occupational Therapy Assistant | 224Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | |||
| Low Vision Occupational Therapy Assistant | 224ZL0004X | |||
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X |
Addresses
Primary practice location
Canovanas Mall Enrique Mangual Local #14
Carr. 185 KM. 1.0
Canovanas, PR 00729
Mailing address
Canovanas Mall Enrique Mangual Local #14
Carr. 185 KM. 1.0
Canovanas, PR 00729
Phone (787) 382-7319
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580688000000",
"number": "1881239614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CANOVANAS MALL ENRIQUE MANGUAL LOCAL #14",
"address_2": "CARR. 185 KM. 1.0",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-382-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CANOVANAS MALL ENRIQUE MANGUAL LOCAL #14",
"address_2": "CARR. 185 KM. 1.0",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-382-7319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENDERO EDUCATIVO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-15",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A",
"authorized_official_last_name": "SEMIDEY",
"authorized_official_first_name": "YARITZA",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-382-7319"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224ZF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "224ZL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Low Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "224ZE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.