NPIMap

Organization Active NPI

Innovations Psychotherapeutic Group, PSC

  • Clinical Psychologist
  • Moca, PR
National Provider Identifier
1992143283
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4567 Issued in PR
Legal business name
INNOVATIONS PSYCHOTHERAPEUTIC GROUP, PSC
Practice address
142 Calle Jose C Barbosa
Moca, PR 00676-4105
Phone
(939) 865-9653
Fax
(787) 877-6844
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Carlos Francisco Luna, PSYDNPI 1023456688
Title
President
Phone
(939) 865-9653

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4567 PR Primary

Addresses

Primary practice location

142 Calle Jose C Barbosa
Moca, PR 00676-4105

Mailing address

142 Calle Jose C Barbosa
Moca, PR 00676-4105
Phone (939) 865-9653

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1992143283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CALLE JOSE C BARBOSA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764105",
            "telephone_number": "939-865-9653",
            "fax_number": "787-877-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 CALLE JOSE C BARBOSA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764105",
            "telephone_number": "939-865-9653",
            "fax_number": "787-877-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS PSYCHOTHERAPEUTIC GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-865-9653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.