Individual provider Active NPI

Emma J Rodriguez Feliciano, PH.D

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1952717266
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5319 Issued in PR
Practice address
1224 Ave Munoz Rivera
Reparto Universitario
Ponce, PR 00717-0639
Phone
(787) 209-0124
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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 5319 PR Primary

Addresses

Primary practice location

1224 Ave Munoz Rivera
Reparto Universitario
Ponce, PR 00717-0639

Mailing address

1224 Ave Munoz Rivera
Reparto Universitario
Ponce, PR 00717-0639
Phone (787) 209-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5319PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1952717266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 AVE MUNOZ RIVERA",
            "address_2": "REPARTO UNIVERSITARIO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170639",
            "telephone_number": "787-209-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 AVE MUNOZ RIVERA",
            "address_2": "REPARTO UNIVERSITARIO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170639",
            "telephone_number": "787-209-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ FELICIANO",
        "first_name": "EMMA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; 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.