Active NPIIndividual providerSole proprietor

Dr. Jessica Gomez Perales, PSYD

Psychologist, Clinical in San Juan, Puerto Rico

NPI Number1194001933
Practice location
29 Calle Washington Ste 107, San Juan, PR 00907-1509
Fax
—
Last updated
March 23, 2018

Jessica Gomez Perales is a Psychologist, Clinical based in San Juan, PR. Jessica Gomez Perales practices in San Juan, PR and has the professional credentials of PSYD. The NPI Number for Jessica Gomez Perales is 1194001933 and holds a License No. 4121 (PR). The current practice location address for Jessica Gomez Perales is 29 Calle Washington Ste 107, San Juan, PR 00907-1509 and can be reached out via phone at 787-466-0106.

Provider Profile Details

NPI Number
1194001933
Provider Name
Jessica Gomez Perales
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
29 Calle Washington Ste 107, San Juan, PR 00907-1509
Phone Number
787-466-0106
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 25, 2011
Last Update Date
March 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Calle Washington Ste 107
San Juan, PR 00907-1509
Zip
00907-1509
Phone Number
787-466-0106
San Juan, PR 00907Get directions →

Provider Business Mailing Address Details

Address
29 Calle Washington Ste 107
San Juan, PR 00907-1509
City
San Juan
State
PR
Zip
00907-1509
Phone Number
787-466-0106

License Information

License Number (1)
4121
License State (1)
PR
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
4121
License State (2)
PR
License Number (3)
4121
License State (3)
PR
Taxonomy (3)
Psychologist, Adult Development & Aging · 103TA0700X
Taxonomy (4)
Psychologist, Cognitive & Behavioral · 103TB0200X
Taxonomy (6)
Psychologist, Family · 103TF0000X
License Number (7)
4121
License State (7)
PR
Taxonomy (7)
Psychologist, Family · 103TF0000X
Taxonomy (8)
Psychologist, Health · 103TH0004X
License Number (9)
4121
License State (9)
PR
Taxonomy (9)
Psychologist, Health · 103TH0004X
Taxonomy (10)
Psychologist, Health Service · 103TH0100X
Taxonomy (12)
Psychologist, Group Psychotherapy · 103TP2701X
License Number (13)
4121
License State (13)
PR
Taxonomy (13)
Psychologist, Group Psychotherapy · 103TP2701X
Taxonomy (14)
Psychologist, Rehabilitation · 103TR0400X
License Number (15)
4121
License State (15)
PR
Taxonomy (15)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jessica Gomez Perales, PSYD?

The NPI number of Dr. Jessica Gomez Perales, PSYD is 1194001933. It was assigned on October 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessica Gomez Perales, PSYD?

Dr. Jessica Gomez Perales, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 4121.

Where does Dr. Jessica Gomez Perales, PSYD practice?

The practice location is 29 Calle Washington Ste 107, San Juan, PR 00907-1509. The office can be reached at 787-466-0106 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194001933 directly on the NPPES registry website.

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