Individual provider Active NPI

Griselle Garcia Hernandez

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1962733345
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3547 Issued in PR
Practice address
75 Calle Luna
Esquina Torres
Ponce, PR 00730
Phone
(787) 844-5364
NPI assigned
Jan 25, 2010
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 3547 PR
Clinical Psychologist 103TC0700X 3547 PR Primary
Clinical Child & Adolescent Psychologist 103TC2200X 3547 PR
Health Service Psychologist 103TH0100X 3547 PR
Group Psychotherapy Psychologist 103TP2701X 3547 PR

Addresses

Primary practice location

75 Calle Luna
Esquina Torres
Ponce, PR 00730

Mailing address

PO Box 336223
Ponce, PR 00733-6223
Phone (787) 844-5364

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

State licenses

LicenseStateTypeSpecialty
3547PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medicina Conductual Inc. Current Accepting new patients
Greistar Mental & Physical Health, LLC Clinical Past Accepting new patients
Greistar Mental & Physical Health, LLC Clinical Past Accepting new patients

Locations

1542 Calle Bori
San Juan, PR 00927
Phone (787) 274-9494

Organizations & group practices 3

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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1962733345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336223",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336223",
            "telephone_number": "787-844-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CALLE LUNA",
            "address_2": "ESQUINA TORRES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-844-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA HERNANDEZ",
        "first_name": "GRISELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "PR",
            "license": "3547",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3547",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "3547",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PR",
            "license": "3547",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PR",
            "license": "3547",
            "primary": false
        }
    ],
    "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 Jan 25, 2017; 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.