Active NPIIndividual providerSole proprietor

Stephanie O Carrillo Nieves, PSYD

Psychologist, Clinical in Arecibo, Puerto Rico

NPI Number1235848060
Practice location
Edificio Arecibo Medical Plaza, Ave. Jose Celso Barbosa #65, Suite 103, Arecibo, PR 00612-0061
Fax
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Last updated
November 29, 2023

Stephanie Odalys Carrillo Nieves is a Psychologist, Clinical based in Arecibo, PR. Stephanie Odalys Carrillo Nieves practices in Arecibo, PR and has the professional credentials of PSYD. The NPI Number for Stephanie Odalys Carrillo Nieves is 1235848060 and holds a License No. 6749 (PR). The current practice location address for Stephanie Odalys Carrillo Nieves is Edificio Arecibo Medical Plaza, Ave. Jose Celso Barbosa #65, Suite 103, Arecibo, PR 00612-0061 and can be reached out via phone at 787-562-5757.

Provider Profile Details

NPI Number
1235848060
Provider Name
Stephanie Odalys Carrillo Nieves
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
Edificio Arecibo Medical Plaza, Ave. Jose Celso Barbosa #65, Suite 103, Arecibo, PR 00612-0061
Phone Number
787-562-5757
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
Dr. Stephanie Odalys Carrillo Nieves, PSYD (Professional Name)
Provider Enumeration Date
November 21, 2022
Last Update Date
November 29, 2023
Certification Date
November 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Edificio Arecibo Medical Plaza
Ave. Jose Celso Barbosa #65, Suite 103
Arecibo, PR 00612-0061
Zip
00612-0061
Phone Number
787-562-5757
Arecibo, PR 00612Get directions →

Provider Business Mailing Address Details

Address
Urb. Los Pinos I
Calle Pino Maritimo #306
Arecibo, PR 00612
City
Arecibo
State
PR
Zip
00612
Phone Number
787-562-5757

License Information

License Number
6749
License State
PR
Taxonomy
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 Stephanie O Carrillo Nieves, PSYD?

The NPI number of Stephanie O Carrillo Nieves, PSYD is 1235848060. It was assigned on November 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Stephanie O Carrillo Nieves, PSYD?

Stephanie O Carrillo Nieves, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 6749.

Where does Stephanie O Carrillo Nieves, PSYD practice?

The practice location is Edificio Arecibo Medical Plaza, Ave. Jose Celso Barbosa #65, Suite 103, Arecibo, PR 00612-0061. The office can be reached at 787-562-5757 (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 1235848060 directly on the NPPES registry website.

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