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INNOVA PSYCHOLOGICAL GROUP, LLC
NPI 1861057580
Psychologist - Clinical in Dorado, PR

Active since May 08, 2019
CARR 695 KM 2.0, BO HIGUILLAR, DORADO, PR 00646(787) 315-6034 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2021, May 8, 2019 (2 updates tracked since 2019).

About Innova Psychological Group, Llc NPPES

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

INNOVA PSYCHOLOGICAL GROUP, LLC (NPI 1861057580) is a healthcare organization registered as a clinical in Dorado, Puerto Rico and active in the NPI registry since May 2019. The organization lists Juan A Gonzalez Rivera, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861057580
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameINNOVA PSYCHOLOGICAL GROUP, LLC
Location AddressCARR 695 KM 2.0, BO HIGUILLARDorado, PR 00646
Mailing Address500 Ave West Main Apt 215Bayamon, PR 00961-3875 · (787) 315-6034
Phone(787) 315-6034
Organization SubpartNo
Authorized OfficialJuan A Gonzalez RiveraAdministrator · (939) 545-5241
Enumeration DateMay 8, 2019
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1861057580 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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JAILEENE E BAEZ MS SLP
Speech-Language Pathologist
CARR 695 KM 2.0, BO. HIGUILLAR
DORADO, PR 00646
Dorado Municipio (787) 314-0373
DR. JUAN ANIBAL GONZALEZ-RIVERA PSY.D.
Psychologist (Clinical)
CARR 695 KM 2.0, BO HIGUILLAR
DORADO, PR 00646
Dorado Municipio (787) 315-6034
DASIEL BAEZ MACHADO
Psychologist (Counseling)
CARR 695 KM 2.0, BO HIGUILLAR
DORADO, PR 00646
Dorado Municipio (787) 906-1857

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 Innova Psychological Group, LLC's NPI number?

The NPI number for Innova Psychological Group, LLC is 1861057580. It was assigned to this organization in the NPPES registry on May 8, 2019.

Where is Innova Psychological Group, LLC located?

Innova Psychological Group, LLC is located at Carr 695 Km 2.0 Bo Higuillar, Dorado, PR 00646. The listed phone number is (787) 315-6034.

What is Innova Psychological Group, LLC'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 Innova Psychological Group, LLC was last updated on May 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.