Great Minds of Puerto Rico Researchers & Clinical Psychologist PSC

Primary specialty

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

License

3058 Issued in PR

Legal business name

GREAT MINDS OF PUERTO RICO RESEARCHERS & CLINICAL PSYCHOLOGIST PSC

Practice address

Urb Golden Hill Bo Las Cuevas
Suite 3
Trujillo Alto, PR 00977-0000

Phone

(787) 579-6075

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yazmin Selles, PSYDNPI 1144498973

Title

President

Phone

(787) 579-6075

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yazmin Selles, PSYD

  • Clinical Psychologist
  • Trujillo Alto, PR
  • NPI 1144498973

  PR

  Medicare reassignment NPD Authorized official
• Frances Baez Alicea, PSYD

  • Clinical Psychologist
  • Humacao, PR
  • NPI 1497987952
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1962678441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780660",
            "telephone_number": "787-579-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB GOLDEN HILL BO LAS CUEVAS",
            "address_2": "SUITE 3",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009770000",
            "telephone_number": "787-579-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MINDS OF PUERTO RICO RESEARCHERS & CLINICAL PSYCHOLOGIST PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SELLES",
        "authorized_official_first_name": "YAZMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-579-6075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "3058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen M Gonzalez
• Merlianis Gonzalez
• Nicole Marie Gonzalez, BSW
• Luz Maria Gordon Roman
• Grace Psychology Center Corporation
• Grow Up Children'S Therapy Center
• Grupo de Empresas de Salud de San Juan, Inc
• Grupo de Empresas de Salud de San Juan, Inc
• Grupo de Empresas de Salud de San Juan, Inc.
• Grupo Empresas de Salud de S J

• All providers in Trujillo Alto, PR
• 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 May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.