INNOVATION MENTAL HEALTH SERVICES CORP (NPI# 1063866440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063866440 |
| Entity Type | Organization |
| Organization Name | INNOVATION MENTAL HEALTH SERVICES CORP |
| Practice Address |
Ave Degetau Urb. Boneville Heights V-18 Caguas PR 00725-5819 |
| Practice Telephone | 7876657611 |
| Mailing Telephone | 7876657611 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | DR. VICTOR M GONZALEZ (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7876641101 |
| Authorized Official Credential | PSY.D. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225248 | Innovation Mental Health Services Corp | Psychologist | 5 Calle, Reparto Montellano, Cayey, PR 00736-4201 | 2015-05-26 |
| Street Address |
AVE DEGETAU URB. BONEVILLE HEIGHTS V-18 |
| City | CAGUAS |
| State | PR |
| Zip Code | 00725-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409565 | Yves Volcy | Dentist | Ave Degetau, # F-14, Caguas, PR 00725-5819 | 2005-06-28 |
| 1639548761 | Preven Familiar Inc. | Clinic/Center | Ave Degetau, F7 Bonneville Terrace, Caguas, PR 00725-5819 | 2015-09-18 |
| 1366765117 | Pediatrics and Ho Bmt Group | Pediatrics | Ave Degetau, Hima San Pablo Hospital, Caguas, PR 00725-5819 | 2010-03-08 |
| 1366562175 | Myriam Daisy Perez | Pharmacy | Ave Degetau, 117 Farmacia Bonneville, Caguas, PR 00725-5819 | 2007-03-29 |
| 1750334835 | Alvin Lopez-pujals | Urology | Ave Degetau, Suite 506, Caguas, PR 00725-7308 | 2006-05-18 |
| 1366419020 | Nancy Esther Betancourt | General Practice | Ave Degetau, Urb. Bonneville Heights, Caguas, PR 00725-5819 | 2006-03-02 |
| 1538136445 | Hector Raul Cortes | General Practice | Ave Degetau, Urb. Bonneville Heights, Caguas, PR 00725-5819 | 2006-03-01 |
| 1306829981 | Juan M Bertran | Orthopaedic Surgery | Ave Degetau, Urb. San Alfonso D5, Caguas, PR 00725-5819 | 2005-11-28 |
| 1992787634 | Renato Rivera | Pediatrics | Ave Degetau, San Alfonso, Caguas, PR 00725-5819 | 2005-11-17 |
| 1508862186 | Rafael Baez | Dentist | Ave Degetau, # A-18, Caguas, PR 00725-5819 | 2005-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264980 | David Edgardo Sanchez-real | Student in an Organized Health Care Education/Training Program | Urb Villa Blanca Cll Jade, Caguas, PR 00725 | 2020-10-27 |
| 1578162368 | Aleidy Mojica | Registered Nurse | Carr 796 Km 7.6 Sect. Bairoa, Bairoa, Caguas, PR 00725 | 2020-10-22 |
| 1912506734 | Nacional Socios, LLC | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle13 M 34, Urb. Condado Moderno, Caguas, PR 00725 | 2020-10-22 |
| 1619583820 | Jose Francisco Rovira IIi | General Practice | Av. Gautier Benitez, Consolidated Mall, Suite C20-a, Caguas, PR 00725 | 2020-09-22 |
| 1467068296 | Alexandra Maria Rincones | Student in an Organized Health Care Education/Training Program | L9 Calle 5 Bonneville Terrace, Caguas, PR 00725 | 2020-09-17 |
| 1316551773 | Luis Alberto Rolon Ortega Sr. | Nurse Anesthetist, Certified Registered | Urb. Turabo Garden 725 Carr. 172, Caguas, PR 00725 | 2020-09-03 |
| 1033729835 | Roberto Jose Torres | Student in an Organized Health Care Education/Training Program | Urb. Turabo Garden Carr. #172, Caguas, PR 00725 | 2020-08-06 |
| 1891305744 | Carolina Huertas Ayala | Student in an Organized Health Care Education/Training Program | Condominio Paseo Degetau, Apt. 2805, Caguas, PR 00725 | 2020-08-05 |
| 1184233306 | Jasseline I Gonzalez | Social Worker | Ave Jose Mercado Esquina Cristobal Colon #121, Caguas, PR 00725 | 2020-07-23 |
| 1932727161 | Nalyan Cardona Vaquez | Nutritionist | Street Aranjuez 641, Urb. La Cima Ciudad Jardin Bairoa, Caguas, PR 00725 | 2020-07-14 |
| Find all providers in zip 00725 | ||||
| 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 |
| 1306225248 | Innovation Mental Health Services Corp | Psychologist | 5 Calle, Reparto Montellano, Cayey, PR 00736-4201 | 2015-05-26 |
| 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 |
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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.