DR. JACKELINE VELEZ IRIZARRY PSY.D.
NPI 1902055023
Psychologist - Clinical in Ponce, PR

Q: What is Jackeline Velez Irizarry's NPI number?

The NPI number for Jackeline Velez Irizarry is 1902055023. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Q: What is Jackeline Velez Irizarry's specialty?

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

Active since September 12, 2008PECOS Enrolled

506 COTO LAUREL 102 MARGINAL CARR, LEGACY OFFICE PARK SUITE, PONCE, PR 00780(787) 813-2222(787) 813-2222 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jackeline Velez Irizarry Psy.d. NPPES

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

DR. JACKELINE VELEZ IRIZARRY PSY.D. (NPI 1902055023) is an individual clinical provider in Ponce, Puerto Rico, licensed in Puerto Rico (3176) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902055023

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACKELINE VELEZ IRIZARRYCredential: PSY.D.

Location Address506 COTO LAUREL 102 MARGINAL CARR, LEGACY OFFICE PARK SUITEPonce, PR 00780

Mailing AddressPo Box 560, MerceditaPonce, PR 00715-0560 · (787) 598-1949

Phone(787) 813-2222

Fax(787) 813-2222

Sole ProprietorYes

Enumeration DateSeptember 12, 2008

Last NPPES UpdateMay 12, 2023

NPPES CertifiedMay 12, 2023

✔ NPI 1902055023 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 · 3176

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.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jackeline Velez Irizarry Psy.d. 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 Jackeline Velez Irizarry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psy Clinic LLC

Clinic/Center

LEGACY OFFICE PARK, SUITE 102
Coto Laurel, PR 00780

Reassigned Medicare billing, Puerto Rico enrollment
2 clinicians in this Medicare group

NPI 1366930133 (787) 813-2222

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 00780 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 Jackeline Velez Irizarry's NPI number?

The NPI number for Jackeline Velez Irizarry is 1902055023. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Jackeline Velez Irizarry located?

Jackeline Velez Irizarry practices at 506 Coto Laurel 102 Marginal Carr Legacy Office Park Suite, Ponce, PR 00780. The listed phone number is (787) 813-2222.

What is Jackeline Velez Irizarry's specialty?

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

Is Jackeline Velez Irizarry enrolled in Medicare?

Yes. Jackeline Velez Irizarry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackeline Velez Irizarry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackeline Velez Irizarry reassigns Medicare benefits to Psy Clinic LLC (Coto Laurel, 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 Jackeline Velez Irizarry'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 Jackeline Velez Irizarry was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.