GREISTAR MENTAL & PHYSICAL HEALTH, LLC (NPI# 1902336167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902336167 |
| Entity Type | Organization |
| Organization Name | GREISTAR MENTAL & PHYSICAL HEALTH, LLC |
| Practice Address |
52 Calle Meditacion Mayaguez PR 00680-4819 |
| Mailing Address |
Po Box 336223 Ponce PR 00733-6223 |
| Practice Telephone | 7878341878 |
| Mailing Telephone | 7873745801 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | GRISELLE GARCIA HERNANDEZ (DIRECTORA CLINICA) |
| Authorized Official Telephone | 7873745801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942738570 | Greistar Mental & Physical Health, LLC | Clinical Neuropsychologist | 1226 Calle Cadiz, Urb. Puerto Nuevo, San Juan, PR 00920-3841 | 2017-05-26 |
| Street Address |
52 CALLE MEDITACION |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00680-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215060660 | Mayra Del Carmen Rosado | Psychologist | 52 Calle Meditacion, Mayaguez, PR 00680-4819 | 2007-03-14 |
| 1164651014 | Rocio Cristina Martinez | Psychologist | 52 Calle Meditacion, Mayaguez, PR 00680-4819 | 2009-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668720 | Antenor Xavier Aviles | Family Medicine | Carretera 349, Km 2.7, Mayaguez, PR 00680 | 2020-10-27 |
| 1053919027 | Eyda Yesmin Inigo | Psychologist | Urb. Colinas De Alturas De Mayaguez 2020, Mayaguez, PR 00680 | 2020-10-13 |
| 1033717343 | Yalizeth Katiuska Rivera Gonzalez | Psychologist | Carr 348 Km 7.2, Bo Rosario, Mayaguez, PR 00680 | 2020-10-09 |
| 1699372797 | Stephanie Hernandez | Psychologist | Medical Center Plaza 740 Ave. Hostos, Suite 213, Mayaguez, PR 00680 | 2020-10-02 |
| 1346855863 | Victor Ramon Madera | Assisted Living Facility | Avenida Ramon Arbona 1050, Barrio Sabalos, Mayaguez, PR 00680 | 2020-09-11 |
| 1396358479 | Meddyg Group LLC | General Practice | 7 Calle Ramon Emeterio Betnaces, Esquina De Diego, Mayaguez, PR 00680 | 2020-08-28 |
| 1275146631 | Tatiana Velez-burgos | Dietitian, Registered | Rd 348 Km 3.0 Interior, Bo. Quebrada Grande, Mayaguez, PR 00680 | 2020-08-26 |
| 1962013441 | Yeileen Concepcion Hernandez | Psychologist | Edif. Centro Del Oeste, Calle Relampago #70 Oficina 104, Mayaguez, PR 00680 | 2020-08-10 |
| 1245840461 | Natasha Mederos Rocha | Student in an Organized Health Care Education/Training Program | Urb. Los Versalles Calle Reina #2209, Mayaguez, PR 00680 | 2020-08-03 |
| 1255957908 | Alexander Enrique Benitez Rodriguez | General Practice | Carr. 106 Km. 13.8 Bo. Naranjales, Mayaguez, PR 00680 | 2020-06-18 |
| Find all providers in zip 00680 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023565710 | Psicomedica Del Oeste Csp | Psychologist | 111 Urbanizacion El Valle Alamo, Lajas, PR 00667-2502 | 2016-09-09 |
| 1902353014 | Intercede | Psychologist | 239 Sabanetas Ind Pk, Ponce, PR 00716-4401 | 2016-09-07 |
| 1316338122 | Corporacion Renace Creyendo En Ti | Psychologist | H 11 Ave Luis Munoz Marin Suite B, Urb Villa Del Carmen, Caguas, PR 00725 | 2015-02-16 |
| 1598383960 | Clinica Psicoalternativas | Psychologist | 386 Ave Domenech, San Juan, PR 00918-3719 | 2020-07-11 |
| 1184168619 | Greistar Mental and Physical Health LLC | Psychologist | 75 Calle Luna, Esquina Torres, Ponce, PR 00730 | 2016-12-19 |
Please comment or provide details below to improve the information on GREISTAR MENTAL & PHYSICAL HEALTH, LLC.
| 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.