Individual provider Active NPI

Jessica Muniz, PHD

  • Clinical Psychologist
  • Aguada, PR
National Provider Identifier
1942855770
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6396 Issued in PR
Practice address
Edif. Center Plex
Carr 2 KM 133.5 Suite 204
Aguada, PR 00602
Phone
(939) 200-4550
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6396 PR Primary

Addresses

Primary practice location

Edif. Center Plex
Carr 2 KM 133.5 Suite 204
Aguada, PR 00602

Mailing address

Edif. Center Plex
Carretera 2 KM 133.5 Suite 204
Aguada, PR 00602
Phone (939) 200-4550

Other practice location 1

Carr 129 Antiguo Hospital Regional de Arecibo
Arecibo, PR 00612-0000
Phone (787) 817-1246

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
I20220525000605 PR Practitioner - Clinical Psychologist 3072990456 Reassigns benefits to 1 organization
Practice locations: Aguada, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6396PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp CurrentSince Feb 17, 2022 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Feb 17, 2022 Accepting new patients
Inspira Behavioral Care Corp. Single Specialty Current Accepting new patients
Inspira Mental Health Management PastSince Feb 17, 2022 Accepting new patients

Locations

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1942855770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF. CENTER PLEX",
            "address_2": "CARRETERA 2 KM 133.5 SUITE 204",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "939-200-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF. CENTER PLEX",
            "address_2": "CARR 2 KM 133.5 SUITE 204",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "939-200-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 129 Antiguo Hospital Regional de Arecibo",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006120000",
            "country_code": "US",
            "telephone_number": "787-817-1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.