DR. DARISELLE JIMENEZ-ORTIZ PHD
NPI 1417636150
Psychologist - Clinical in Caguas, PR

Q: What is Dariselle Jimenez-ortiz's NPI number?

The NPI number for Dariselle Jimenez-ortiz is 1417636150. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Q: What is Dariselle Jimenez-ortiz's specialty?

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

Active since July 11, 2023PECOS Enrolled

A18 AVE DEGETAU, CAGUAS, PR 00725(939) 745-5500(561) 944-8003 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, Feb 26, 2025, Jul 11, 2023 (3 updates tracked since 2023).

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About Dr. Dariselle Jimenez-ortiz Phd NPPES

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

DR. DARISELLE JIMENEZ-ORTIZ PHD (NPI 1417636150) is an individual clinical provider in Caguas, Puerto Rico, licensed in Puerto Rico (8174) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417636150

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DARISELLE JIMENEZ-ORTIZCredential: PHD

Location AddressA18 AVE DEGETAUCaguas, PR 00725-5837

Mailing AddressPo Box 262212San Juan, PR 00926-2653 · (939) 745-5500

Phone(939) 745-5500

Fax(561) 944-8003

Sole ProprietorNo

Enumeration DateJuly 11, 2023

Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1417636150 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 · 8174

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.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dariselle Jimenez-ortiz Phd 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.

Medicare Billing Reassignment

Medicare enrollment records show Dariselle Jimenez-ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurowellness,llc

Clinical Neuropsychologist

AVE. DEGETAU, A18 URB. BONEVILLE TERRACE
Caguas, PR 00725

Reassigned Medicare billing, Puerto Rico enrollment
3 clinicians in this Medicare group

NPI 1932852324 (939) 745-5500

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 00725 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 2

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

PLASTIC SURGERY & LASER CENTER

Clinic/Center (Medical Specialty)

A18 AVE DEGETAU, URB BONNEVILLE TERRACE
CAGUAS, PR 00725

Caguas Municipio (787) 961-4023

DR. LUZMARIE EDIVIA VELAZQUEZ PHD

Psychologist (Clinical)

A18 AVE DEGETAU
CAGUAS, PR 00725

Caguas Municipio (939) 745-5500

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 Dariselle Jimenez-ortiz's NPI number?

The NPI number for Dariselle Jimenez-ortiz is 1417636150. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Dariselle Jimenez-ortiz located?

Dariselle Jimenez-ortiz practices at A18 Ave Degetau, Caguas, PR 00725. The listed phone number is (939) 745-5500.

What is Dariselle Jimenez-ortiz's specialty?

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

Is Dariselle Jimenez-ortiz enrolled in Medicare?

Yes. Dariselle Jimenez-ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dariselle Jimenez-ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dariselle Jimenez-ortiz reassigns Medicare benefits to Neurowellness,llc (Caguas, 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 Dariselle Jimenez-ortiz'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 Dariselle Jimenez-ortiz was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.