Active NPI
Stephanie Vega, PSYD
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1972858694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5617
- Practice address
- Segovia 208 Villa del Carmen
Ponce, PR 00716-2101 - Phone
- (787) 240-8458
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5617 | PR | Primary |
Addresses
Primary practice location
Segovia 208 Villa del Carmen
Ponce, PR 00716-2101
Mailing address
Villa del Carmen Segovia 208
Ponce, PR 00716
Phone (787) 240-8458
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 |
|---|---|---|---|
| 5617 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1972858694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLA DEL CARMEN SEGOVIA 208",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-240-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SEGOVIA 208 VILLA DEL CARMEN",
"city": "PONCE",
"state": "PR",
"postal_code": "007162101",
"telephone_number": "787-240-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "STEPHANIE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5617",
"primary": true
}
],
"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 Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.