DR. JACOB CHRISTOPHER MATOS-CASTRO PSYD
NPI 1104605955
Psychologist - Clinical in Ponce, PR

Q: What is Jacob Matos-castro's NPI number?

The NPI number for Jacob Matos-castro is 1104605955. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Q: What is Jacob Matos-castro's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 21, 2023PECOS Enrolled

388 ZONA IND REPARADA 2, PONCE, PR 00716(787) 840-2575 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacob Christopher Matos-castro Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB CHRISTOPHER MATOS-CASTRO PSYD (NPI 1104605955) is an individual clinical provider in Ponce, Puerto Rico, licensed in Puerto Rico (7020) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ponce.

NPPES Registry Identity

NPI1104605955

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACOB CHRISTOPHER MATOS-CASTROCredential: PSYD

Location Address388 ZONA IND REPARADA 2Ponce, PR 00716-2347

Mailing AddressValle Alto Calle Pradera 1219Ponce, PR 00730-4122 · (787) 951-6602

Phone(787) 840-2575

Sole ProprietorYes

Enumeration DateSeptember 21, 2023

Last NPPES UpdateApril 8, 2026

NPPES CertifiedApril 8, 2026

✔ NPI 1104605955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PR · 7020

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Practice Location 1

Location 1Calle Salmon #55 EPonce, PR 00716 · Phone (787) 951-6602

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Christopher Matos-castro Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.44 typical visit price

range $56.86 – $172.44

Typical copayment $43.11 (range $14.21 – $43.11)

Most-billed visit code 99205

Established Patient

$100.24 typical visit price

range $18.24 – $140.44

Typical copayment $25.06 (range $4.56 – $35.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAVIER IGNACIO CALZADA

Student in an Organized Health Care Education/Training Program