Organization Active NPI

Mental Health Integrated Services, Inc.

  • Clinical Social Worker
  • Arecibo, PR
National Provider Identifier
1972843662
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10447 Issued in PR
Legal business name
MENTAL HEALTH INTEGRATED SERVICES, INC.
Practice address
46 Calle Morell Campos
Arecibo, PR 00612-4318
Phone
(787) 236-9082
Fax
(787) 878-0683
NPI assigned
Feb 18, 2013
Last updated
Feb 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Mrs. Gladys A Rodriguez, MSWNPI 1982969382
Title
President
Phone
(787) 236-9082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10447 PR Primary

Addresses

Primary practice location

46 Calle Morell Campos
Arecibo, PR 00612-4318

Mailing address

PO Box 3359
Arecibo, PR 00613-3359
Phone (787) 236-9082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130417000529 PR Part B Supplier - Clinic/Group Practice 9739325721 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1972843662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3359",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006133359",
            "telephone_number": "787-236-9082",
            "fax_number": "787-878-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CALLE MORELL CAMPOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124318",
            "telephone_number": "787-236-9082",
            "fax_number": "787-878-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH INTEGRATED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-236-9082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.