MENTE ACTIVA
NPI 1023561230
Psychologist - Cognitive & Behavioral in Ponce, PR
About Mente Activa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENTE ACTIVA (NPI 1023561230) is a healthcare organization registered as a cognitive & behavioral in Ponce, Puerto Rico and active in the NPI registry since July 2016. The organization lists Jaisselle Marie Vega, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mente Activa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mente Activa, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Ponce, PR 00716
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mente Activa's NPI number?
The NPI number for Mente Activa is 1023561230. It was assigned to this organization in the NPPES registry on July 25, 2016.
Where is Mente Activa located?
Mente Activa is located at 775 Calle Caoba Centro Comercial Los Caobos, Suite 10, Ponce, PR 00716. The listed phone number is (787) 677-0503.
What is Mente Activa's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
Is Mente Activa enrolled in Medicare?
Yes. Mente Activa is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mente Activa?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mente Activa, in Clinical Psychologist and Clinical Social Worker. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mente Activa was last updated on April 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mente Activa · NPI 1023561230
Cognitive & Behavioral organization in Ponce, Puerto Rico. Organization record, active in the CMS NPPES registry since July 25, 2016.
## Identity
- **NPI:** 1023561230 (Entity type: Organization)
- **Enumerated:** July 25, 2016
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **Organization subpart:** No
- **Authorized official:** Jaisselle Vega, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 775 CALLE CAOBA, CENTRO COMERCIAL LOS CAOBOS, SUITE 10, Ponce, PR 00716-2610
- **Phone:** (787) 677-0503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Clinical Social Worker (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023561230) · Data from the CMS NPPES public registry.