Organization Active NPI

Salud Psicointegral Y Accion Educativa, CSP

  • Multi-Specialty Clinic/Center
  • Isabela, PR
National Provider Identifier
1922770106
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SALUD PSICOINTEGRAL Y ACCION EDUCATIVA, CSP
Practice address
61 Calle Otero
Isabela, PR 00662-3002
Phone
(787) 421-5936
Fax
(787) 872-4607
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Dr. Yahaira Reyes, PHD
Title
Clinical Psychologist President
Phone
(787) 421-5936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

61 Calle Otero
Isabela, PR 00662-3002

Mailing address

PO Box 1543
Isabela, PR 00662-1543
Phone (787) 421-5936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118002804 PR Part B Supplier - Clinic/Group Practice 7810386521 Receives reassigned benefits from 2 practitioners
Practice locations: Isabela, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1922770106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1543",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621543",
            "telephone_number": "787-421-5936",
            "fax_number": "787-872-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CALLE OTERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623002",
            "telephone_number": "787-421-5936",
            "fax_number": "787-872-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD PSICOINTEGRAL Y ACCION EDUCATIVA, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "YAHAIRA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST PRESIDENT",
        "authorized_official_telephone_number": "787-421-5936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.