1. Home
  2. Directory
  3. NPI Profile

DR. LICELOTT MARIE MALDONADO CLIN. PSYCHOLOGIST
NPI 1801471024
Psychologist - Clinical in Ponce, PR

Active since March 10, 2021
450 CALLE FERROCARRIL STE 203, PONCE, PR 00717(787) 638-3778 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Licelott Marie Maldonado Clin. Psychologist NPPES

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

DR. LICELOTT MARIE MALDONADO CLIN. PSYCHOLOGIST (NPI 1801471024) is an individual clinical provider in Ponce, Puerto Rico, licensed in Puerto Rico (5821) and active in the NPI registry since March 2021. She maintains a secondary practice location in Yauco.

NPPES Registry Identity

NPI1801471024
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LICELOTT MARIE MALDONADOCredential: CLIN. PSYCHOLOGIST
Location Address450 CALLE FERROCARRIL STE 203Ponce, PR 00717-4105
Mailing AddressPo Box 8930Ponce, PR 00732-8930 · (787) 638-3778
Phone(787) 638-3778
Sole ProprietorYes
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1801471024 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 · 5821
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 Location 1

Location 110 Calle BetancesYauco, PR 00698-3647 · Phone (787) 638-3778

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 Licelott Maldonado's NPI number?

The NPI number for Licelott Maldonado is 1801471024. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Licelott Maldonado located?

Licelott Maldonado practices at 450 Calle Ferrocarril Ste 203, Ponce, PR 00717. The listed phone number is (787) 638-3778.

What is Licelott Maldonado's specialty?

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

When was this NPI record last updated?

The NPPES record for Licelott Maldonado was last updated on March 10, 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.