Individual provider Active NPI

Osmary Olivencia Sanchez, PSY.D

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1932250925
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2772 Issued in PR
Practice address
2162 Blvd Luis.a .Ferre
Urb.Villa Grillasca
Ponce, PR 00717-0722
Phone
(787) 840-1110
Fax
(787) 840-0003
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2772 PR Primary

Addresses

Primary practice location

2162 Blvd Luis.a .Ferre
Urb.Villa Grillasca
Ponce, PR 00717-0722

Mailing address

434 Carr 342
Mayaguez, PR 00682-7604
Phone (787) 464-6186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000645 PR Practitioner - Clinical Psychologist 2163513854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2772PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Medicos Universitarios Past Accepting new patients
Bridges for Health, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1932250925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 CARR 342",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827604",
            "telephone_number": "787-464-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 BLVD LUIS.A .FERRE",
            "address_2": "URB.VILLA GRILLASCA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170722",
            "telephone_number": "787-840-1110",
            "fax_number": "787-840-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVENCIA SANCHEZ",
        "first_name": "OSMARY",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.