GRISSELLE BEAUCHAMP DRA
NPI 1679145742
Psychologist - Clinical in Mayaguez, PR

Q: What is Grisselle Beauchamp's NPI number?

The NPI number for Grisselle Beauchamp is 1679145742. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Q: What is Grisselle Beauchamp's specialty?

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

Active since July 16, 2021PECOS Enrolled

MEDICAL CENTER PLAZA #740, SUITE 213 AVE. HOSTOS, MAYAGUEZ, PR 00682(787) 444-1120 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Grisselle Beauchamp Dra NPPES

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

GRISSELLE BEAUCHAMP DRA (NPI 1679145742) is an individual clinical provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (6972) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679145742

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameGRISSELLE BEAUCHAMPCredential: DRA

Location AddressMEDICAL CENTER PLAZA #740, SUITE 213 AVE. HOSTOSMayaguez, PR 00682-1540

Mailing AddressMedical Center Plaza #740, Suite 213 Ave. HostosMayaguez, PR 00682-1540 · (787) 444-1120

Phone(787) 444-1120

Sole ProprietorYes

Enumeration DateJuly 16, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1679145742 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 · 6972

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grisselle Beauchamp Dra 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 Grisselle Beauchamp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psicologia Innovadora Del Oeste

Clinical

BO LAVADERO CARR #2 KM HM 165.5
Hormigueros, PR 00660

Reassigned Medicare billing, Puerto Rico enrollment

NPI 1275305476 (939) 865-3515

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 00682 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 Grisselle Beauchamp's NPI number?

The NPI number for Grisselle Beauchamp is 1679145742. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Grisselle Beauchamp located?

Grisselle Beauchamp practices at Medical Center Plaza #740 Suite 213 Ave. Hostos, Mayaguez, PR 00682. The listed phone number is (787) 444-1120.

What is Grisselle Beauchamp's specialty?

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

Is Grisselle Beauchamp enrolled in Medicare?

Yes. Grisselle Beauchamp is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grisselle Beauchamp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grisselle Beauchamp reassigns Medicare benefits to Psicologia Innovadora Del Oeste (Hormigueros, 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 Grisselle Beauchamp'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 Grisselle Beauchamp was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.