NPIMap

Organization Active NPI

Centro Psicologico Ilo, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
National Provider Identifier
1902239114
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTRO PSICOLOGICO ILO, INC.
Practice address
San Alfonso D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone
(787) 930-3144
NPI assigned
Aug 12, 2013
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Ivelisse Lopez, PSYDNPI 1215281639
Title
Presidente
Phone
(787) 930-3144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

San Alfonso D12 Calle Mis Amores
Caguas, PR 00725-5821

Mailing address

Calle Rubi Villa Blanca #31
Caguas, PR 00725-1933
Phone (787) 672-8096

Other practice location 1

14 Carr 3 KM 140.2 San Vicente Mall
Sector Melania Bo Jobos
Guayama, PR 00784-6804
Phone (787) 558-8718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150519001719 PR Part B Supplier - Clinic/Group Practice 6103146923 Receives reassigned benefits from 9 practitioners
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

13 Calle Hormigueros
Caguas, PR 00727
Phone (787) 286-1845

14 San Vicente Mall
Guayama, PR 00784
Phone (787) 558-8718

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1902239114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE RUBI VILLA BLANCA #31",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251933",
            "telephone_number": "787-672-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN ALFONSO D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255821",
            "telephone_number": "787-930-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 CARR 3 KM 140.2 SAN VICENTE MALL",
            "address_2": "SECTOR MELANIA BO JOBOS",
            "address_purpose": "LOCATION",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846804",
            "country_code": "US",
            "telephone_number": "787-558-8718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO PSICOLOGICO ILO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-930-3144",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.