EOS: PSYCHOLOGICAL WELLNESS CENTRE (NPI# 1003188244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003188244 |
| Entity Type | Organization |
| Organization Name | EOS: PSYCHOLOGICAL WELLNESS CENTRE |
| Practice Address |
Ave Monserrate Ab 18 Local 4 Valle Arriba Heights Carolina PR 00985 |
| Mailing Address |
Calle 31 Af 24 Urb. Interamericana Trujillo Alto PR 00976 |
| Practice Telephone | 7875509708 |
| Mailing Telephone | 7875509708 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | DR. AGNES SYBEL DIAZ (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7875509708 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
4105 | PR | Ambulatory Health Care Facilities |
| Street Address |
AVE MONSERRATE AB 18 LOCAL 4 VALLE ARRIBA HEIGHTS |
| City | CAROLINA |
| State | PR |
| Zip Code | 00985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363705 | Margarita Ortiz | Pharmacist | Avenida Monserrate Esquina Main Calderon, Villa Carolina, Carolina, PR 00985 | 2019-12-13 |
| 1871154906 | Northeastern Medical Network L.L.C. | Family Medicine | 124-8 Ave Roberto Clemente, Carolina, PR 00985 | 2019-06-28 |
| 1871150904 | Ljr Medical LLC | Family Medicine | 3fs5 Ave Fragoso, Urb Villa Fontana, Carolina, PR 00985 | 2019-05-23 |
| 1720644289 | Health Laboratories Services, Inc. | Clinical Medical Laboratory | Carolina Shopping Court Local 302, Bo Martin Gonzalez, Carolina, PR 00985 | 2019-05-10 |
| 1346707171 | Edsel I Rivera | Nurse Practitioner | Century Business Park, 23 Carr 848, Carolina, PR 00985 | 2019-02-28 |
| 1699230847 | Carmen Milagros Vazquez Sr. | Social Worker | 23 Carolina Century Business Center Carr 848, Carolina, PR 00985 | 2019-02-01 |
| 1972067247 | Minorka Gizzette Figueroa-davila | Student in an Organized Health Care Education/Training Program | Calle 4 B-27 Estancias De San, Fernando, Carolina, PR 00985 | 2019-01-30 |
| 1962966119 | Vacunacion Al Dia Ninos Y Adultos | Clinic/Center | 22-2 Calle 18, Urb Villa Carolina, Carolina, PR 00985 | 2019-01-22 |
| 1992289631 | Marilyn Figueroa Chinea | Pharmacist | Carr Pr 3 Km 9.5 Ave 65 Infanteria, Carolina, PR 00985 | 2018-09-19 |
| 1336623214 | Vanessa Jimenez | Pharmacist | 65 Infanteria Ave Carr 3 Km 9.5, Reparto Industrial San Gabriel, Carolina, PR 00985 | 2018-09-18 |
| Find all providers in zip 00985 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604541 | Mental Wellness Professional Group, P.s.c. | Clinic/Center | Calle Gardenia 82 Ciudad Jardin, Carolina, PUERTO RICO 00987 | 2016-04-15 |
| 1558722330 | Inspira Mental Health Management | Clinic/Center | Carr 848 Esq 887, Local 23 Carolina Century Business Center, Carolina, PR 00982 | 2016-03-08 |
| 1740640770 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Carolina Shopping Court, Road #3, Km. 9.6, Carolina, PR 00979 | 2016-03-03 |
| 1265759989 | Centro Holistico De Salud Mental, Inc | Clinic/Center | 5 Calle Ignacio Arzuaga E, Carolina Profesional Center, Carolina, PR 00985-6250 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997862 | Lazo Social, LLC | Clinic/Center | 419 Jose De Diego Street, Suite 9, San Juan, PR 00923 | 2020-09-23 |
| 1396357802 | Morovis Community Health Center, Inc. | Clinic/Center | Bo. Espinoza, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-08-18 |
| 1699384719 | Clinica Integral & Bienestar Emocional LLC | Clinic/Center | Ave Jose A Cedeno #521 Edif Nolla, Arecibo, PR 00612 | 2020-07-24 |
| 1750999520 | Trabajo Social Capeles | Clinic/Center | 1519 Ave Pnce De Leon Ste 303, San Juan, PR 00926-2713 | 2020-07-17 |
| 1467079749 | Migrant Health Center Western Region, Inc. | Clinic/Center | 185 Ave Dunscombe, Mayaguez, PR 00682-2432 | 2020-07-02 |
| 1902423791 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | 996 Calle San Roberto Professional Office Park, Building 5 Pfizer Tower Suite 301, San Juan, PR 00936 | 2020-06-29 |
| 1336764307 | Migrant Health Center Western Region, Inc. | Clinic/Center | Carretera Estatal #100 Km. 6.1, Barrio Miradero, Cabo Rojo, PR 00623-0000 | 2020-06-15 |
| 1164047411 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | 162 Ave Gautier Benitez Villas, Edificio Angora, Caguas, PR 00725 | 2020-06-12 |
| 1730700626 | Centro De Salud Conductual Menonita Cima | Clinic/Center | Bo. Montellano, Carretera 1 Plaza Cayey, Cayey, PR 00736-2800 | 2020-05-01 |
| 1144840323 | Fbc Mental LLC | Clinic/Center | Carr 21 S 3 # 11 Suite 304, Las Lomas, San Juan, PR 00921-0092 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.