NEURODIVERSAMENTE LLC
NPI 1619862521
Psychologist - Clinical in San Juan, PR

Q: What is Neurodiversamente LLC's NPI number?

The NPI number for Neurodiversamente LLC is 1619862521. It was assigned to this organization in the NPPES registry on June 11, 2025.

Q: What is Neurodiversamente LLC's specialty?

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

Active since June 11, 2025

527 CALLE SERGIO CUEVAS BUSTAMANTE, AVE MANUEL DOMENECH, SAN JUAN, PR 00918(787) 204-6886 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2025, Sep 11, 2025, Jun 11, 2025 (3 updates tracked since 2025).

On this page

About Neurodiversamente Llc NPPES

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

NEURODIVERSAMENTE LLC (NPI 1619862521) is a healthcare organization registered as a clinical in San Juan, Puerto Rico and active in the NPI registry since June 2025. The organization lists Ismarie Soto Infante, Presidente, as its authorized official.

NPPES Registry Identity

NPI1619862521

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameNEURODIVERSAMENTE LLC

Location Address527 CALLE SERGIO CUEVAS BUSTAMANTE, AVE MANUEL DOMENECHSan Juan, PR 00918-2677

Mailing Address74 Calle ConventoSanta Isabel, PR 00757-3014 · (787) 204-6886

Phone(787) 204-6886

Organization SubpartNo

Authorized OfficialIsmarie Soto InfantePresidente · (787) 204-6886

Enumeration DateJune 11, 2025

Last NPPES UpdateSeptember 15, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1619862521 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.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Neurodiversamente LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ismarie Soto Infante, PSY.D.

Clinical Psychologist

NPI 1184204315

527 CALLE SERGIO CUEVAS BUSTAMANTE
San Juan, PR 00918

(787) 204-6886

✔ 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 Neurodiversamente LLC's NPI number?

The NPI number for Neurodiversamente LLC is 1619862521. It was assigned to this organization in the NPPES registry on June 11, 2025.

Where is Neurodiversamente LLC located?

Neurodiversamente LLC is located at 527 Calle Sergio Cuevas Bustamante Ave Manuel Domenech, San Juan, PR 00918. The listed phone number is (787) 204-6886.

What is Neurodiversamente LLC's specialty?

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

Is Neurodiversamente LLC enrolled in Medicare?

Yes. Neurodiversamente LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neurodiversamente LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Neurodiversamente 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 Neurodiversamente LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.