Stephanie M Canales, MPSY

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

8117 Issued in PR

Practice address

D12 Calle Mis Amores
Caguas, PR 00725-5821

Phone

(787) 930-3144

NPI assigned

Feb 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Centro Psicologico Ilo, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
  • NPI 1902239114

  PR, Single Specialty

  Medicare reassignment NPD
• Centro Psicologico Ilo SE LLC

  • Clinical Psychologist
  • Canovanas, PR
  • NPI 1427731538

  Single Specialty

  NPD

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1891590923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CALLE FORMON",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259822",
            "telephone_number": "787-236-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255821",
            "telephone_number": "787-930-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 CARR PR 3 KM 140.2",
            "address_2": "MELANIA BO JOBOS",
            "address_purpose": "LOCATION",
            "city": "GUAYAMA",
            "state": "PA",
            "postal_code": "007846804",
            "country_code": "US",
            "telephone_number": "787-558-8718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANALES",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "MPSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "8117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Enid Camacho
• Edinson Camargo Arias, MD
• Camera Mundi, Inc.
• Jose R. Camino, MEDICAL DOCTOR
• Nicolle M Canales Ramos, MD
• Carlos B Candelaria, DMD
• Clarisol Candelaria, LND
• Juan J Candelario Lanza, M.D.
• Adriana Candelario-Gonzalez, M.D.
• Nicole M Candelario, M.D.

• All providers in Caguas, PR
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.