Bethsaida Jimenez Anaya, LCDA.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6894 Issued in PR

Practice address

Urb Villa la Marina
Calle Indus #1
Carolina, PR 00979

Phone

(787) 518-4407

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1972335545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLA LA MARINA",
            "address_2": "CALLE INDUS #1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-518-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLA LA MARINA",
            "address_2": "CALLE INDUS #1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-518-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ ANAYA",
        "first_name": "BETHSAIDA",
        "name_prefix": "Mrs.",
        "credential": "LCDA.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennise Joanna Javierre Hernandez, NL
• Jeffrey Greenberg,MD OBGYN , P.S.C.
• Adriana Jeronimo Villanueva
• Jes Mar Ambulance Inc
• JGR Corporation
• Emanuel Jimenez del Toro, PH.D.
• Jessie J. Jimenez Rivera, PT
• Danexy Jimenez-Melendez
• Ivonne Z Jimenez-Velazquez, MD, FACP
• Collette Marie Jimenez, M.A.

• Psychologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.