Servicios Psicologicos Integrales

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SERVICIOS PSICOLOGICOS INTEGRALES

Practice address

San Jorge Medical Building
Suite 204
San Juan, PR 00912

Phone

(787) 728-3800

Fax

(787) 728-3850

NPI assigned

Jun 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carmen Socorro Lassus

Title

Clinical Director

Phone

(787) 728-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881897775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL BUILDING",
            "address_2": "SUITE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-728-3800",
            "fax_number": "787-728-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL BUILDING",
            "address_2": "SUITE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-728-3800",
            "fax_number": "787-728-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PSICOLOGICOS INTEGRALES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LASSUS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "SOCORRO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "787-728-3800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.