PSIDEP LLC
NPI 1790414530
Clinic/Center - Mental Health (Including Community Mental Health Center) in Moca, PR
About Psidep Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PSIDEP LLC (NPI 1790414530) is a healthcare organization registered as a mental health (including community mental health center) in Moca, Puerto Rico and active in the NPI registry since June 2022. The organization lists Abdiel Muniz Vera, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Psidep Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Psidep LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Psidep LLC's NPI number?
The NPI number for Psidep LLC is 1790414530. It was assigned to this organization in the NPPES registry on June 7, 2022.
Where is Psidep LLC located?
Psidep LLC is located at Moca Medical Plaza #113 Carr 110 Km 12.4, Moca, PR 00676. The listed phone number is (787) 546-7508.
What is Psidep LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Psidep LLC enrolled in Medicare?
Yes. Psidep LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Psidep LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Psidep 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 Psidep LLC was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Psidep Llc · NPI 1790414530
Mental Health (Including Community Mental Health Center) organization in Moca, Puerto Rico. Organization record, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1790414530 (Entity type: Organization)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Abdiel Muniz Vera, DIRECTOR
## Practice location
- **Address:** MOCA MEDICAL PLAZA #113 CARR 110 KM 12.4, Moca, PR 00676
- **Phone:** (787) 546-7508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790414530) · Data from the CMS NPPES public registry.