GREISTAR MENTAL & PHYSICAL HEALTH, LLC (NPI# 1942738570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942738570 |
| Entity Type | Organization |
| Organization Name | GREISTAR MENTAL & PHYSICAL HEALTH, LLC |
| Practice Address |
1226 Calle Cadiz Urb. Puerto Nuevo San Juan PR 00920-3841 |
| Mailing Address |
1226 Calle Cadiz Urb. Puerto Nuevo San Juan PR 00920 |
| Practice Telephone | 7879850891 |
| Practice Fax Number | 7879850892 |
| Mailing Telephone | 7879850891 |
| Mailing Fax Number | 7879850892 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | DR. GRISELLE GARCIA HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 7873745801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| 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 |
|---|---|---|---|---|
| 1902336167 | Greistar Mental & Physical Health, LLC | Psychologist | 52 Calle Meditacion, Mayaguez, PR 00680-4819 | 2017-06-19 |
| Street Address |
1226 CALLE CADIZ URB. PUERTO NUEVO |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00920-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073060 | Melina Marie Umpierre | Naturopath | #577 Calle Hillside Summitt Hills, San Juan, PR 00920 | 2020-11-03 |
| 1699397455 | Lisa Navas Medical Services, LLC | General Practice | 1020 Roosevelt Ave. Puerto Nuevo, San Jaun, PR 00920 | 2020-05-14 |
| 1598385049 | Mediexpreso LLC | General Practice | Villa Hucar C6 Calle Almendro, San Juan, PR 00920 | 2020-04-24 |
| 1851923668 | Luis Enrique Ortiz | Pharmacist | 1484 Ave. F. D. Roosevelt, Suite 19, San Juan, PR 00920 | 2020-02-10 |
| 1508498585 | Aracely Acosta | Pharmacist | 1484 Ave. F.d. Roosevelt, Suite 19, San Juan, PR 00920 | 2020-02-07 |
| 1649820713 | Monica Gomez Martinez | Pharmacist | Bechara Industrial Park, Calle Segarra Edif. #411, Ave. Marginal Kennedy, San Juan, PR 00920 | 2019-09-19 |
| 1992355721 | Eixaleen Jove | Pharmacist | 1441 Ave Franklin Delano Rooselvelt, San Juan, PR 00920 | 2019-09-13 |
| 1952864639 | Sara M Ramos | Pharmacist | 411 Calle Segarra, Bechara Industrial Park, Marginal Ave. Kennedy, San Juan, PR 00920 | 2019-04-10 |
| 1598223430 | Sergio E Ferrer Mendez | Dentist | 551 Ave Escorial Caparra Heights, San Juan, PR 00920 | 2019-03-11 |
| 1508320680 | Jeneli Jimenez | Psychologist | 1016 Calle 18 Ne, Urb Puerto Nuevo, San Juan, PR 00920 | 2019-01-23 |
| Find all providers in zip 00920 | ||||
| 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 |
|---|---|---|---|---|
| 1598383960 | Clinica Psicoalternativas | Psychologist | 386 Ave Domenech, San Juan, PR 00918-3719 | 2020-07-11 |
| 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 |
| 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.