Jackeline Velez Irizarry, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3176 Issued in PR

Practice address

506 Coto Laurel 102 Marginal Carr
Legacy Office Park Suite
Ponce, PR 00780

Phone

(787) 813-2222

Fax

(787) 813-2222

NPI assigned

Sep 12, 2008

Last updated

May 12, 2023By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psy Clinic LLC

  dba Psy Clinic

  • Clinic/Center
  • Coto Laurel, PR
  • NPI 1366930133
  Medicare reassignment NPD

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1902055023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "address_2": "MERCEDITA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007150560",
            "telephone_number": "787-598-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 COTO LAUREL 102 MARGINAL CARR",
            "address_2": "LEGACY OFFICE PARK SUITE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-813-2222",
            "fax_number": "787-813-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ IRIZARRY",
        "first_name": "JACKELINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Enrique Velez Diaz, PHARMD
• Zaret Nohelis Velez Estremera, PHARMD
• Anthony Junior Velez Galarza
• Iris Vanesa Velez Garcia, M.D.
• Wilson Velez Guzman, MD
• Maritza Velez Loyola
• Meredith Marie Velez Mercado, PHARM.D., BCPS
• Karla Velez Mojica, MPH
• Fernando Velez Montanez, MD
• Sixto A Velez Natali

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.