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PSY CLINIC
NPI 1366930133
Clinic/Center in Coto Laurel, PR

Active since April 27, 2018
LEGACY OFFICE PARK, SUITE 102, COTO LAUREL, PR 00780(787) 813-2222(787) 813-2222 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2022, Apr 27, 2018 (2 updates tracked since 2018).

About Psy Clinic NPPES

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

PSY CLINIC (NPI 1366930133) is a healthcare organization registered as a clinic/center in Coto Laurel, Puerto Rico and active in the NPI registry since April 2018. The organization lists Jackeline Velez, Director, as its authorized official.

NPPES Registry Identity

NPI1366930133
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePSY CLINIC LLC
Location AddressLEGACY OFFICE PARK, SUITE 102Coto Laurel, PR 00780
Mailing AddressPo Box 560Mercedita, PR 00715-0560 · (787) 813-2222
Phone(787) 813-2222
Fax(787) 813-2222
Organization SubpartNo
Authorized OfficialJackeline VelezDirector · (787) 813-2222
Enumeration DateApril 27, 2018
Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
✔ NPI 1366930133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other Names 1

Doing Business AsPsy Clinic

Other Identifiers 1

Medicaid1902055023PR

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psy Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Psy Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Grace Quintas
Clinical Psychologist
NPI 1528713914
LEGACY OFFICE PARK SUITE 102 COTO LAUREL
Ponce, PR 00780
(787) 813-2222
✔ PECOS
Jackeline Velez Irizarry, PSY.D.
Clinical Psychologist
NPI 1902055023
506 COTO LAUREL 102 MARGINAL CARR LEGACY OFFICE PARK SUITE
Ponce, PR 00780
(787) 813-2222
✔ PECOS

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 Psy Clinic LLC's NPI number?

The NPI number for Psy Clinic LLC is 1366930133. It was assigned to this organization in the NPPES registry on April 27, 2018. The provider is doing business as Psy Clinic.

Where is Psy Clinic LLC located?

Psy Clinic LLC is located at Legacy Office Park Suite 102, Coto Laurel, PR 00780. The listed phone number is (787) 813-2222.

What is Psy Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Psy Clinic LLC enrolled in Medicare?

Yes. Psy Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psy Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Psy Clinic LLC. 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 Psy Clinic LLC was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.