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KATHIA M PENA RIOS PHD
NPI 1417805045
Psychologist - Clinical in San Juan, PR

Active since March 19, 2026PECOS Enrolled
1135 CALL 5 URB. VILLA NEVAREZ, SAN JUAN, PR 00927(787) 530-6633 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathia M Pena Rios Phd NPPES

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

KATHIA M PENA RIOS PHD (NPI 1417805045) is an individual clinical provider in San Juan, Puerto Rico, licensed in Puerto Rico (8826) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417805045
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHIA M PENA RIOSCredential: PHD
Location Address1135 CALL 5 URB. VILLA NEVAREZSan Juan, PR 00927-5165
Mailing Address1400 Ave De Diego Urb. Palacios Del Escorial, Apt 960Carolina, PR 00987-4701
Phone(787) 530-6633
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1417805045 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 · 8826
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)

Kathia M Pena Rios Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890261655
PECOS Enrollment IDI20260419000092
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 Kathia Pena Rios reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elders Of Puerto Rico, Psc
Primary Care
368 CALLE DE DIEGO APT 602
San Juan, PR 00923
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 4 clinicians in this Medicare group
NPI 1225541949 (787) 753-0663

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 00927 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.

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 Kathia Pena Rios's NPI number?

The NPI number for Kathia Pena Rios is 1417805045. It was assigned to this individual provider in the NPPES registry on March 19, 2026.

Where is Kathia Pena Rios located?

Kathia Pena Rios practices at 1135 Call 5 Urb. Villa Nevarez, San Juan, PR 00927. The listed phone number is (787) 530-6633.

What is Kathia Pena Rios's specialty?

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

Is Kathia Pena Rios enrolled in Medicare?

Yes. Kathia Pena Rios is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathia Pena Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathia Pena Rios reassigns Medicare benefits to Elders Of Puerto Rico, Psc (San Juan, 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 Kathia Pena Rios'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 Kathia Pena Rios was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.