Organization Active NPI

Deseares Clinica Psicologica LLC

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1992617989
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DESEARES CLINICA PSICOLOGICA LLC
Practice address
2610 Calle Mayor
Suite 1
Ponce, PR 00717-2074
Phone
(787) 514-7799
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Dr. Sullyann Krystal Lopez, PHDNPI 1831009877
Title
President
Phone
(787) 514-7799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2610 Calle Mayor
Suite 1
Ponce, PR 00717-2074

Mailing address

2610 Calle Mayor
Suite 1
Ponce, PR 00717-2074
Phone (787) 514-7799

Practitioners & affiliated clinicians

Practitioners 1

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": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1992617989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 CALLE MAYOR",
            "address_2": "SUITE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-514-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 CALLE MAYOR",
            "address_2": "SUITE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-514-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESEARES CLINICA PSICOLOGICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SULLYANN",
        "authorized_official_middle_name": "KRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-514-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.