Individual provider Active NPI

Rosalyn I. Ortiz, PSY.D

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1982665238
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2422 Issued in PR
Practice address
Monte Atenas Office Park Ave. Las Cumbres KM 4.0
Suite 215
San Juan, PR 00926
Phone
(787) 598-3112
Fax
(787) 767-3412
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2422 PR Primary

Addresses

Primary practice location

Monte Atenas Office Park Ave. Las Cumbres KM 4.0
Suite 215
San Juan, PR 00926

Mailing address

Calle Abraham
74 La Providencia
Aibonito, PR 00705
Phone (787) 598-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000054 PR Practitioner - Clinical Psychologist 5991748758 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Monte Atenas Office Park
Ave Las Cumbres KM 4.0 Suite 215
San Juan, PR 00926
Phone (787) 598-3112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2422PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Health Med Group Inc Clinical Past Accepting new patients
Hector J Guerra Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1982665238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ABRAHAM",
            "address_2": "74 LA PROVIDENCIA",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-598-3112",
            "fax_number": "787-767-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONTE ATENAS OFFICE PARK AVE. LAS CUMBRES KM 4.0",
            "address_2": "SUITE 215",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-598-3112",
            "fax_number": "787-767-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ROSALYN",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.