Individual provider Active NPI

Rosa Isabel Badillo, PSYD

  • Clinical Psychologist
  • Isabela, PR
National Provider Identifier
1962393322
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8102 Issued in PR
Practice address
Avenida Agustin Ramos Calero Int.
Carr. 112 KM 1.4 Suite # 9
Isabela, PR 00662
Phone
(787) 431-0621
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 8102 PR Primary

Addresses

Primary practice location

Avenida Agustin Ramos Calero Int.
Carr. 112 KM 1.4 Suite # 9
Isabela, PR 00662

Mailing address

240 Calle Las Vegas Comunidad Los Pinos
Isabela, PR 00662-0000
Phone (787) 431-0621

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address centroderenovacionintegral@outlook.com Health Information Exchange (HIE)

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
I20260223000842 PR Practitioner - Clinical Psychologist 9931680568 Practice locations: Isabela, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

722 Calle Dialy
Isabela, PR 00662

Ave Agustin Ramos Calero Int
Carr 112 KM 1.4 Suite 9 (Hosp Cima)
Isabela, PR 00662
Phone (939) 366-3652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8102PRMDClinical Psychologist
2283PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1962393322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CALLE LAS VEGAS COMUNIDAD LOS PINOS",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620000",
            "telephone_number": "787-431-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA AGUSTIN RAMOS CALERO INT.",
            "address_2": "CARR. 112 KM 1.4 SUITE # 9",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-431-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "ROSA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "centroderenovacionintegral@outlook.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Avenida Agustin Ramos Calero Int.",
            "address_2": "Carr. 112 KM 1.4 Suite # 9",
            "city": "Isabela",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.