Psych Wellness Center PSC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

3348 Issued in PR

Legal business name

PSYCH WELLNESS CENTER PSC

Practice address

453 Calle Cesar Gonzalez
Oficina 6
San Juan, PR 00918-2638

Phone

(787) 392-9990

NPI assigned

Nov 23, 2010

Last updated

Nov 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amelia Rodriguez Acevedo, PHD

Title

Psychology/President

Phone

(787) 392-9990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1942502968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 CALLE CESAR GONZALEZ",
            "address_2": "OFICINA 6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182638",
            "telephone_number": "787-392-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 CALLE CESAR GONZALEZ",
            "address_2": "OFICINA 6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182638",
            "telephone_number": "787-392-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH WELLNESS CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "PSYCHOLOGY/PRESIDENT",
        "authorized_official_telephone_number": "787-392-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "3348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psico Group de PR Inc (PSYCOmax)
• Psico-Colectivo, LLC
• Psicologia Avanzada Diaz
• Psicologos Clinicos del Santurce Medical Mall, CSP
• Psiconsulta
• Psych Wellness Corporation
• Psychiatry Parnters
• Psychiatry Wellness Group
• Psychmed Services LLC
• Manuel Pubillones, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Juan, PR
• Providers in San Juan, PR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.