DR. JAISSELLE MARIE VEGA ROSALY PHD
NPI 1104379320
Psychologist - Cognitive & Behavioral in Ponce, PR

NPI Status: Active since July 25, 2016

Contact Information

775 CALLE CAOBA
CENTRO COMERCIAL LOS CAOBOS, SUITE 6
PONCE, PR
ZIP 00716
Phone: (787) 677-0503

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  • Individual
  • Female
  • Years of Experience 13
  • Psychologist
  • Cognitive & Behavioral
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JAISSELLE VEGA ROSALY

This page provides the complete NPI Profile along with additional information for Jaisselle Vega Rosaly, a provider established in Ponce, Puerto Rico with a medical specialization in Psychologist, focusing in cognitive & behavioral and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1104379320 assigned on July 2016. The practitioner's primary taxonomy code is 103TB0200X with license number 5738 (PR). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1104379320
Provider Name
DR. JAISSELLE MARIE VEGA ROSALY PHD
Gender
Female
Entity Type
Individual
Location Address
775 CALLE CAOBA CENTRO COMERCIAL LOS CAOBOS, SUITE 6 PONCE, PR 00716
Location Phone
(787) 677-0503
Mailing Address
775 CALLE CAOBA CENTRO COMERCIAL LOS CAOBOS, SUITE 6 PONCE, PR 00716
Mailing Phone
(787) 677-0503
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
07-25-2016
Last Update Date
07-25-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
License No.
5738
License State
PR
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

5738 (PR)

Medicare Participation & PECOS Enrollment Status

Jaisselle Vega Rosaly is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jaisselle Vega Rosaly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3173896669

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20171215002309

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104379320, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 6 + 7 + 1 + 8 + 3 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104379320.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
775 CALLE CAOBA, CENTRO COMERCIAL LOS CAOBOS STE. 25
PONCE, PR 00716
Psychologist (Cognitive & Behavioral)
775 CALLE CAOBA, CENTRO COMERCIAL LOS CAOBOS, SUITE 10
PONCE, PR 00716

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104379320, enumerated as an "individual" on July 25, 2016.

The provider is located at 775 CALLE CAOBA CENTRO COMERCIAL LOS CAOBOS, SUITE 6 PONCE, PR 00716 and the phone number is (787) 677-0503.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.