PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES – NPI #1487856902
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Health Care Provider Taxonomy Code for Clinic/Center

PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES is an AHC clinic located in BAYAMON, PR. NPPES has assigned the NPI number 1487856902 to PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES on June 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES is also known by the name ASSMCA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 5 years ago on Jul 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES below.

NPI Profile for
PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES

NPI Number
1487856902
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES
Other Name: ASSMCA
Primary location
CARR #2 KM 8.2
BAYAMON, PR 00959
Phone: (787) 783-0750 Fax: (787) 781-8129
Mailing address
PO BOX 607087
BAYAMON, PR 00960-7087
Phone: (787) 763-7575 Fax:
Organization Subpart
No
Authorized Official
JIMMY B'AEZ SALGADO
DIRECTOR DE FACTURACION
Phone: (787) 763-7575
Updated
Certification Date
Jul 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPR038813200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
364SP0807X
- Clinical Nurse Specialist / Psychiatric/Mental Health, Child & Adolescent
323P00000X
- Psychiatric Residential Treatment Facility
163W00000X
- Registered Nurse		 PR 10835

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.