CENTRO PSICOLOGICO ILO SE LLC
NPI 1427731538
Psychologist - Clinical in Canovanas, PR

Q: What is Centro Psicologico Ilo SE LLC's NPI number?

The NPI number for Centro Psicologico Ilo SE LLC is 1427731538. It was assigned to this organization in the NPPES registry on August 8, 2023.

Q: What is Centro Psicologico Ilo SE LLC's specialty?

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

Active since August 08, 2023

66B JOSEFINA LEGRAND, ESQUINA PALMER, CANOVANAS, PR 00729(787) 903-9863 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, Oct 2, 2024, Sep 25, 2024 and 1 more (4 updates tracked since 2023).

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About Centro Psicologico Ilo Se Llc NPPES

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

CENTRO PSICOLOGICO ILO SE LLC (NPI 1427731538) is a healthcare organization registered as a clinical in Canovanas, Puerto Rico and active in the NPI registry since August 2023. The organization maintains 2 additional practice locations and lists Ivelisse Lopez, President, as its authorized official.

NPPES Registry Identity

NPI1427731538

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCENTRO PSICOLOGICO ILO SE LLC

Location Address66B JOSEFINA LEGRAND, ESQUINA PALMERCanovanas, PR 00729-0000

Mailing AddressSan Alfonso, D12 Calle Mis AmoresCaguas, PR 00725-5128 · (787) 558-8718

Phone(787) 903-9863

Organization SubpartYesParent: Centro Psicologico Ilo, Inc.

Authorized OfficialIvelisse LopezPresident · (787) 930-3144

Enumeration DateAugust 8, 2023

Last NPPES UpdateApril 8, 20254 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1427731538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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 Locations 2

Location 114 SAN VICENTE MALL CARR PR3 KM 140.2, SECTOR MELANIA BO JOBOSGUAYAMA, PR 00784-9642 · Phone (787) 558-8718

Location 2D12 CALLE MIS AMORES, SAN ALFONSOCaguas, PR 00725-5128 · Phone (787) 930-3144

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centro Psicologico Ilo Se Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Centro Psicologico Ilo SE LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Karla Haddock Legares

Clinical Social Worker

NPI 1649134412

66 B C11 JOSEFINA LEGRAND
Canovanas, PR 00729

(787) 903-9863

✔ PECOS

Ivelisse Lopez, PSYD.

Clinical Psychologist

NPI 1215281639

VILLA BLANCA 31 CALLE RUBI
Caguas, PR 00725

(787) 672-8096

✔ PECOS

Zahira Vieta Rios

Clinical Social Worker

NPI 1326938937

PO BOX 3663
Guaynabo, PR 00970

(787) 414-4459

✔ 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 Centro Psicologico Ilo SE LLC's NPI number?

The NPI number for Centro Psicologico Ilo SE LLC is 1427731538. It was assigned to this organization in the NPPES registry on August 8, 2023.

Where is Centro Psicologico Ilo SE LLC located?

Centro Psicologico Ilo SE LLC is located at 66B Josefina Legrand Esquina Palmer, Canovanas, PR 00729. The listed phone number is (787) 903-9863.

What is Centro Psicologico Ilo SE LLC's specialty?

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

Is Centro Psicologico Ilo SE LLC enrolled in Medicare?

Yes. Centro Psicologico Ilo SE LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centro Psicologico Ilo SE LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Centro Psicologico Ilo SE LLC, in Clinical Psychologist and Clinical Social Worker. 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 Centro Psicologico Ilo SE LLC was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.