INNOVATION MENTAL HEALTH SERVICES CORP (NPI# 1306225248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306225248 |
| Entity Type | Organization |
| Organization Name | INNOVATION MENTAL HEALTH SERVICES CORP |
| Practice Address |
5 Calle Reparto Montellano Cayey PR 00736-4201 |
| Mailing Address |
5 Calle Reparto Montellano Cayey PR 00736 |
| Practice Telephone | 7876641101 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2016-04-15 |
| Authorized Official Name | DR. VICTOR M GONZALEZ (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7876641101 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
2465 | PR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | 103TH0100X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063866440 | Innovation Mental Health Services Corp | Psychologist | Ave Degetau, Urb. Boneville Heights V-18, Caguas, PR 00725-5819 | 2016-04-21 |
| Street Address |
5 CALLE REPARTO MONTELLANO |
| City | CAYEY |
| State | PR |
| Zip Code | 00736-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294072 | Lyneska Hilian Fernandez Flores | Psychologist | 107 Ave. Munoz Rivera, Cayey, PR 00736 | 2020-10-28 |
| 1861092058 | Rosa Aurora Rivera Sanchez | Psychologist | Carr 1km 56.3 Int Bo Montellano, Sector La Ley Camino Del Sol, Cayey, PR 00736 | 2020-10-28 |
| 1992302210 | Premedical Life Support | Ambulance | Calle 20 #34 Bda Polvorin, Cayey, PR 00736 | 2020-10-08 |
| 1598372336 | Sonia Ivette Sierra | Occupational Therapist | Carr 14 Km72.1 Bo Montellano, Cayey, PR 00736 | 2020-09-25 |
| 1245845445 | Candida Nogueras | Psychologist | Jardines 2 Calle Aleli H16, Cayey, PR 00736 | 2020-09-14 |
| 1629683941 | Angel Manuel Santiago Figueroa | Naturopath | Reparto Montellano, C-j-59, Cayey, PR 00736 | 2020-09-14 |
| 1265046643 | Innova Dos | Technician/Technologist | Carr 1 Km 56.7, Cayey, PR 00736 | 2020-09-03 |
| 1841802295 | Shelin Gonzalez Bosch | Social Worker | Reparto Montellano, Cayey, PR 00736 | 2020-08-18 |
| 1316556467 | Rosaly Joan Rodriguez | Psychologist | Urb. El Torito #5 F-67, Cayey, PR 00736 | 2020-07-24 |
| 1518584150 | Ashley Nicole Perez Perez | Student in an Organized Health Care Education/Training Program | Barrio Sector Lomas, Puerto Rico, Cayey, PR 00736 | 2020-06-30 |
| Find all providers in zip 00736 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447714928 | Julie Ann Moll Camacho | Psychologist | Calle Ramos Antonini, #8 Este, Mayaguez, PR 00680 | 2019-01-29 |
| 1700280500 | Instituto De Capacitacion Y Desarrollo Profesional | Psychologist | 1606 Ave Ponce De Leon, Suite 1005, San Juan, PR 00909-1849 | 2014-10-22 |
| 1902159296 | Rosangela Perez | Psychologist | Ave. Santa Teresa De Jornet, 637 Sur, Mayaguez, PR 00681 | 2012-10-24 |
| 1962649673 | Maribel Rodriguez | Psychologist | Carretera 167 Km. 15, Villa Chica, Buena Vista, Bayamon, PR 00956 | 2009-01-16 |
| 1740300060 | Luz Divina Lopez | Psychologist | Suite 728 Ave. E.pol #497, San Juan, PR 00926 | 2007-03-30 |
| 1417442310 | Psychology Castro Lebron Psc | Psychologist | 168 Ave Barbosa, Catano, PR 00962-4782 | 2018-06-25 |
| 1225570831 | Dra Ramona De Lourdes Diaz Jimenez | Psychologist | 513 Santana, Arecibo, PR 00612-6708 | 2016-11-14 |
| 1063866440 | Innovation Mental Health Services Corp | Psychologist | Ave Degetau, Urb. Boneville Heights V-18, Caguas, PR 00725-5819 | 2016-04-21 |
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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.