Psy Clinic

LBN: Psy Clinic Llc
Psy Clinic is an health care organization with primary practice located at Legacy Office Park Suite 102, Coto Laurel PR 00780. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Psy Clinic Llc can be contacted via phone (787) 813-2222, or through Velez, Jackeline via phone (787) 813-2222.

Contact Information

Primary practice address
Legacy Office Park Suite 102 Coto Laurel PR 00780
Fax: (787) 813-2222
Website:
Authorized official contact:
Name: Velez, Jackeline Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Puerto Rico

Profile Details

NPI number 1366930133
LBN Legal business name Psy Clinic Llc
DBA Doing business as Psy Clinic
Authorized official Velez, Jackeline Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2018
Last updated Jan 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366930133 NPPES
Puerto Rico MEDICAID 1902055023

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