Corporacion Psicopedagogica

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1028 Issued in PR

Legal business name

CORPORACION PSICOPEDAGOGICA

Doing business as

Consultorio Psicologico y Educativo

Practice address

Plaza San Francisco, Suite 105
201 De Diego Avenue
San Juan, PR 00927

Phone

(787) 250-7414

Fax

(787) 759-5093

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fernando Garcia-Castano, PH.D.NPI 1457445090

Title

President

Phone

(787) 250-7414

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Consultorio Psicologico y Educativo Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernando Garcia-Castano, PH.D.

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1457445090
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912092917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA SAN FRANCISCO, SUITE 105",
            "address_2": "201 DE DIEGO AVENUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-250-7414",
            "fax_number": "787-759-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA SAN FRANCISCO, SUITE 105",
            "address_2": "201 DE DIEGO AVENUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-250-7414",
            "fax_number": "787-759-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORACION PSICOPEDAGOGICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA-CASTANO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-250-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "075040",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consultorio Psicologico y Educativo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Aug 22, 2020; 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.