Individual provider Active NPI

Lorraine Pieraldi Matos, PSY D

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1881882645
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2781 Issued in PR
Practice address
Calle 2 NE 1003 Suite 2
Puerto Nuevo
San Juan, PR 00920-8047
Phone
(787) 460-3031
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 2781 PR Primary

Addresses

Primary practice location

Calle 2 NE 1003 Suite 2
Puerto Nuevo
San Juan, PR 00920-8047

Mailing address

4S18 Calle Tulipan
Bayamon, PR 00956-2905
Phone (787) 460-3031

Other names 1

  • Lorraine Pieraldi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080801000423 PR Practitioner - Clinical Psychologist 5597839944 Practice locations: San Juan, PR
I20230721002700 FL Practitioner - Clinical Psychologist 5597839944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2781PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Psychology of Central Florida, LLC Psychologist CurrentSince Mar 2, 2023 Accepting new patients

Locations

2521 13th St
Ste F
Saint Cloud, FL 34769
Phone (407) 841-1310

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1881882645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4S18 CALLE TULIPAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009562905",
            "telephone_number": "787-460-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 2 NE 1003 SUITE 2",
            "address_2": "PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009208047",
            "telephone_number": "787-460-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERALDI MATOS",
        "first_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "PIERALDI",
            "credential": "PSY. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.