Greistar Mental & Physical Health, LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

GREISTAR MENTAL & PHYSICAL HEALTH, LLC

Practice address

52 Calle Meditacion
Mayaguez, PR 00680-4819

Phone

(787) 834-1878

NPI assigned

Jun 19, 2017

Last updated

Jun 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Griselle Garcia HernandezNPI 1962733345

Title

Directora Clinica

Phone

(787) 374-5801

Specialties & licenses 11

Addresses

Tax ID family

Greistar Mental Physical Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greistar Mental & Physical Health, LLC

  • Group Psychotherapy Psychologist
  • San Juan, PR
  • NPI 1942738570
  NPD tax ID

Locations

Practitioners 3

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.

• Griselle Garcia Hernandez

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1962733345
  NPD (past) Authorized official
• Rocio Cristina Martinez, PSY.D

  • Clinical Psychologist
  • Mayaguez, PR
  • NPI 1164651014
  NPD (past)
• Mayra Del Carmen Rosado, PH.D

  • Clinical Psychologist
  • Mayaguez, PR
  • NPI 1215060660
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1902336167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336223",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336223",
            "telephone_number": "787-374-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CALLE MEDITACION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804819",
            "telephone_number": "787-834-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREISTAR MENTAL & PHYSICAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA HERNANDEZ",
        "authorized_official_first_name": "GRISELLE",
        "authorized_official_title_or_position": "DIRECTORA CLINICA",
        "authorized_official_telephone_number": "787-374-5801"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Orlando Goyco, M.D.
• Gpa Surgical PR LLC
• Sheila Mary Gracia Ramos, MASTER SOCIAL WORK
• Hector Gracia
• Ivette T Gregory
• Leonora Yvette Grin
• Griselle E Carlo Hidalgo (Laboratorio Clinico Dr. Basora)
• Grupo de Medicos Visitantes del Oeste,CSP
• Grupo de Servicios Especializados En Psicologia E Intergativos Corp
• Grupo Fisiatrico Y Terapia Fisica CSP

• Group Psychotherapy Psychologist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Group Psychotherapy Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.