Active NPI
Yiddish Marie Alvarez-Melendez, M. A., PH.D. (C)
- Psychologist
- Ponce, PR
National Provider Identifier
1891889663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2714
- Practice address
- #22 Calle Sol
Suite 1
Ponce, PR 00730 - Phone
- (787) 677-6065
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NA | ||
| Psychologist | 103T00000X | 2714 | PR | Primary |
Addresses
Primary practice location
#22 Calle Sol
Suite 1
Ponce, PR 00730
Mailing address
#22 Calle Sol
Suite 1
Ponce, PR 00730
Phone (787) 677-6065
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131114000571 | PR | Practitioner - Clinical Psychologist | 1153557426 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2714 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Servicios Psicologicos Resurgir, P.S.C. | Current | Accepting new patients |
Locations
22 Calle Sol
Ste 1
Ponce, PR 00730
Phone (787) 215-6571
22 Calle Sol
#205
Ponce, PR 00730
Phone (787) 677-6065
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1891889663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#22 CALLE SOL",
"address_2": "SUITE 1",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-677-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#22 CALLE SOL",
"address_2": "SUITE 1",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-677-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ-MELENDEZ",
"first_name": "YIDDISH",
"middle_name": "MARIE",
"credential": "M. A., PH.D. (C)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2024-04-30",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "NA",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "2714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.