Active NPI
Jose R Maisonet, PSY.D.
- Clinical Psychologist
- Arecibo, PR
National Provider Identifier
1962995191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7375
- Practice address
- Urb. Rodriguez Olmo
Calle B#12
Arecibo, PR 00612 - Phone
- (787) 378-4051
- NPI assigned
- Jun 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 7375 | PR | Primary |
Addresses
Primary practice location
Urb. Rodriguez Olmo
Calle B#12
Arecibo, PR 00612
Mailing address
PO Box 2724
Arecibo, PR 00613-2724
Phone (787) 378-4051
Other names 1
- Dr. Jose R Maisonet
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | puertoricopsychology@yahoo.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7375 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1962995191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2724",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006132724",
"telephone_number": "787-378-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. RODRIGUEZ OLMO",
"address_2": "CALLE B#12",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-378-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISONET",
"first_name": "JOSE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2022-06-27",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7375",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "puertoricopsychology@yahoo.com",
"affiliation": "N",
"address_1": "Urb. Rodriguez Olmo",
"address_2": "Calle B#12",
"city": "Arecibo",
"state": "PR",
"country_code": "US",
"postal_code": "00612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOSE",
"last_name": "MAISONET",
"middle_name": "R",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Arecibo, PR
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- Kenneth Javier Machado Figueroa
- Arlene J Maestre Rivera
- Maf Amb Services 1 Corp
- Magobet Ambulance Inc
- Elimer Maldonado Colon
- Angel Luis Maldonado Despiau
- Antonio M. Maldonado Gonzalez, M.D.
- Eduardo Javier Maldonado Molinari, DC
- Mariana Del Pilar Maldonado Planell, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.