Active NPI
Elizabeth Morales Jimenez, PHD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1962664839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3014
- Practice address
- Ave Hostos 592 Suite 102 Urb Baldrich
Brain & Behavior Center
San Juan, PR 00918 - Phone
- (787) 250-7654
- Fax
- (787) 250-7654
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3014 | PR | Primary |
Addresses
Primary practice location
Ave Hostos 592 Suite 102 Urb Baldrich
Brain & Behavior Center
San Juan, PR 00918
Mailing address
1736 Calle Asomante Urb Summit Hils San Juan
PR 00920
San Juan, PR 00920
Phone (787) 315-7144
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1962664839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 CALLE ASOMANTE URB SUMMIT HILS SAN JUAN",
"address_2": "PR 00920",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-315-7144",
"fax_number": "787-250-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE HOSTOS 592 SUITE 102 URB BALDRICH",
"address_2": "BRAIN & BEHAVIOR CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-250-7654",
"fax_number": "787-250-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES JIMENEZ",
"first_name": "ELIZABETH",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.