Active NPI
Jessica Rosado, PSYD
- Psychologist
- Las Piedras, PR
National Provider Identifier
1912674797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6426
- Practice address
- Carr. 183 KM 19.2, Sector la Romana
Las Piedras, PR 00771 - Phone
- (787) 203-1254
- NPI assigned
- Aug 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6426 | PR | Primary |
Addresses
Primary practice location
Carr. 183 KM 19.2, Sector la Romana
Las Piedras, PR 00771
Mailing address
HC 20 Box 27878
San Lorenzo, PR 00754-9484
Phone (787) 203-1254
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeyrosado@hotmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211124000247 | PR | Practitioner - Psychologist Billing Independently | 2567852098 | Practice locations: Las Piedras, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6426 | PR | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1912674797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 20 BOX 27878",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007549484",
"telephone_number": "787-203-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 183 KM 19.2, SECTOR LA ROMANA",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "787-203-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "6426",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeyrosado@hotmail.com",
"affiliation": "N",
"address_1": "Carr. 183 KM 19.2, Sector La Romana",
"city": "Las Piedras",
"state": "PR",
"country_code": "US",
"postal_code": "00771",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.