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CENTRO INTERDISCIPLINARIO DE SALUD MENTAL C.S.P NPI 1396763561


NPI Information

NPI: 1396763561
Provider Name: CENTRO INTERDISCIPLINARIO DE SALUD MENTAL, C.S.P

Other Name: CISME

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
CENTRO CARIBE BUILDING 2053
PONCE BY PASS SUITE 205
PONCE, PR
ZIP 00717
Phone: (787) 453-8666
Get Directions

CENTRO INTERDISCIPLINARIO DE SALUD MENTAL, C.S.P is a psychologist in Ponce, PR. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. CENTRO INTERDISCIPLINARIO DE SALUD MENTAL, C.S.P NPI is 1396763561. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cisme.

The provider's business location address is:

CENTRO CARIBE BUILDING 2053
PONCE BY PASS SUITE 205
PONCE, PR
ZIP 00717-308
Phone: (787) 453-8666
Fax: (787) 841-4170

The provider's authorized official is Carlos A Lado-cornejo .
The authorized official title is President and has the following contact phone number (787) 453-8666.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 5/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry12657PUERTO RICONo
2103T00000XPsychologist2334PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q-18576MEDICARE UPINPUERTO RICO
20056737MEDICARE ID-TYPE UNSPECIFIEDPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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