Brendaliz Vargas, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3065 Issued in PR

Practice address

184 Calle Guadalupe
Ponce, PR 00730-3561

Phone

(787) 709-4130

NPI assigned

May 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Inspira Psychiatric Services PSC

  • Adult Mental Health Clinic/Center
  • Bayamon, PR
  • NPI 1912088238
  NPD (past)

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1942467030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 CALLE CAOBO",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572058",
            "telephone_number": "787-562-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CALLE GUADALUPE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303561",
            "telephone_number": "787-709-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "BRENDALIZ",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3065",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Viced Vargas Santiago, MD
• Jenniffer Marie Vargas Santos, M.D.
• Legna Vargas-Batiz, PHD
• Iris Monica Vargas-Medina
• Joel Josue Vargas-Ramirez, STUDENT
• Emmari Vargas
• Joanne Ivette Vargas, PHARM D
• Julmarie Vargas, OT
• Stephanie Crooke Vargas
• Wanda Vargas, R.N.

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, 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 Sep 30, 2008; 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.