JAIRA MARIE ALMODOVAR MEDINA PSYD
NPI 1154975688
Psychologist - Clinical in Ponce, PR

Active since August 01, 2019PECOS Enrolled
35 CALLE MAYOR, PONCE, PR 00730(787) 844-3077 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2026, Sep 11, 2025, Aug 1, 2019 (3 updates tracked since 2019).

About Jaira Marie Almodovar Medina Psyd NPPES

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

JAIRA MARIE ALMODOVAR MEDINA PSYD (NPI 1154975688) is an individual clinical provider in Ponce, Puerto Rico, licensed in Puerto Rico (8976) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154975688
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJAIRA MARIE ALMODOVAR MEDINACredential: PSYD
Location Address35 CALLE MAYORPonce, PR 00730-3726
Mailing Address35 Calle MayorPonce, PR 00730-3726 · (787) 844-3077
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 1, 2019
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1154975688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 8976
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 17286 (PR)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaira Marie Almodovar Medina Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911496526
PECOS Enrollment IDI20251031004191
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.

Medicare Billing Reassignment

Medicare enrollment records show Jaira Almodovar Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2604 AVE LAS AMERICAS
Ponce, PR 00717
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00730 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 4

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

Psychologist (Clinical)
35 CALLE MAYOR
PONCE, PR 00730
Psychologist (Clinical)
35 CALLE MAYOR
PONCE, PR 00730
Psychologist (Clinical)
35 CALLE MAYOR
PONCE, PR 00730
Psychologist (Clinical)
35 CALLE MAYOR
PONCE, PR 00730

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 Jaira Almodovar Medina's NPI number?

The NPI number for Jaira Almodovar Medina is 1154975688. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Jaira Almodovar Medina located?

Jaira Almodovar Medina practices at 35 Calle Mayor, Ponce, PR 00730. The listed phone number is (787) 844-3077.

What is Jaira Almodovar Medina's specialty?

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

Is Jaira Almodovar Medina enrolled in Medicare?

Yes. Jaira Almodovar Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaira Almodovar Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaira Almodovar Medina reassigns Medicare benefits to N & N Psychological Services (Ponce, PR). The 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 Jaira Almodovar Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaira Almodovar Medina was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.