| Novamind Therapy Group LLC | |
|
5 Carr 798 Km 0.5 Rio Canas Caguas PR 00725-0000 | |
| (787) 207-7588 | |
| Not Available |
| Full Name | Novamind Therapy Group LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Carr 798 Km 0.5, Caguas, Puerto Rico |
| Authorized Official Name and Position | Jennifer Morales (PRESIDENTE) |
| Authorized Official Contact | 7872077588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novamind Therapy Group LLC Villa Caribe 257 Via Campina Caguas PR 00727 Ph: (787) 207-7588 | Novamind Therapy Group LLC 5 Carr 798 Km 0.5 Rio Canas Caguas PR 00725-0000 Ph: (787) 207-7588 |
| NPI Number | 1033965793 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 8426581281 |
|---|---|
| Medicare Enrollment ID | O20241031002798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033965793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 103TC1900X | Psychologist - Counseling | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Secondary |
| Provider Name | Jennifer Morales |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1740063643 PECOS PAC ID: 9335672195 Enrollment ID: I20241031003525 |
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