Active NPI
Griselle Garcia Hernandez
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1962733345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3547
- Practice address
- 75 Calle Luna
Esquina Torres
Ponce, PR 00730 - Phone
- (787) 844-5364
- NPI assigned
- Jan 25, 2010
- Last updated
- Jan 25, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3547 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Group Psychotherapy Psychologist
- Mayaguez, PR
- NPI 1902336167
Clinical
-
- Group Psychotherapy Psychologist
- San Juan, PR
- NPI 1942738570
Clinical
-
- Adult Mental Health Clinic/Center
- San Juan, PR
- NPI 1083843478
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.