Organization Active NPI

Ashley Vazquez PSC

Doing business as Dra. Ashley Vazquez Psicologa Clinica

  • Clinical Psychologist
  • Aguada, PR
National Provider Identifier
1942076104
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ASHLEY VAZQUEZ PSC
Doing business as
Dra. Ashley Vazquez Psicologa Clinica
Practice address
Edificio Constancia Carr 417
KM HM 2.4 Bo Guanabano
Aguada, PR 00602-9828
Phone
(787) 667-3553
NPI assigned
Nov 29, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Dr. Ashley Jailyn Vazquez Matias, PSYDNPI 1124634209
Title
Clinical Psychologist
Phone
(787) 667-3553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

Edificio Constancia Carr 417
KM HM 2.4 Bo Guanabano
Aguada, PR 00602-9828

Mailing address

HC 57 Box 9400
Aguada, PR 00602-9828
Phone (787) 667-3553

Other names 1

  • Dra. Ashley Vazquez Psicologa Clinica Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402001536 PR Part B Supplier - Clinic/Group Practice 0840638441 Receives reassigned benefits from 2 practitioners
Practice locations: Aguada, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1942076104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 57 BOX 9400",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029828",
            "telephone_number": "787-667-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO CONSTANCIA CARR 417",
            "address_2": "KM HM 2.4 BO GUANABANO",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029828",
            "telephone_number": "787-667-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY VAZQUEZ PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ MATIAS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "JAILYN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-667-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dra. Ashley Vazquez Psicologa Clinica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.