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Dr. Samiris Collazo-Rodriguez , PsyD

Psychologist - Counseling β€’ Juncos, PR

Active NPI 1639601495 Individual Practitioner Female Practitioner
Practice location in NPPES

51 Calle Escute
Juncos, PR 007773417

Call 7875613585 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

51 Calle Escute

Juncos, PR 007773417

Telephone 7875613585

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Collazo-Rodriguez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Juncos and Puerto Rico

12 active clinicians are listed under Psychologist - Counseling with a practice address in Juncos, PR (878 in Puerto Rico).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Juncos

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-02-25
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES PR 5652

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Puerto Rico State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PSYCHOLOGIST BILLING INDEPENDENTLY

Medicare Enrollment ID

I20171115001473

Enrollment State Jurisdiction

PR

PECOS Control ID

7214293810

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
βœ…
NPI Profile Active August 02, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 02, 2017

Registered at 51 CALLE ESCUTE, JUNCOS, PR 007773417 (Tel: 7875613585)

πŸ“
Updated Business Mailing Address August 02, 2017

Registered at 390 CALLE DAGUAO, URB VILLAS DE BUENAVENTURA, YABUCOA, PR 00767 (Tel: 7879513858)

πŸ‘€
Provider Name / Credentials Updated August 02, 2017

Recorded as SAMIRIS COLLAZO-RODRIGUEZ, PSY.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Psychologist (license number reported to NPPES: PR 5652)

πŸ“
Updated Practice Location May 02, 2017

Registered at 51 CALLE ESCUTE, JUNCOS, PR 007773417 (Tel: 7875613585)

βœ…
NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 31, 2017

Registered at 390 CALLE DAGUAO, YABUCOA, PR 007679570 (Tel: 7879513858)

πŸ“
Business Mailing Address (Initial Record) March 31, 2017

Registered at 390 CALLE DAGUAO, URB VILLAS DE BUENAVENTURA, YABUCOA, PR 00767 (Tel: 7879513858)

πŸ‘€
Provider Name / Credentials (Initial Record) March 31, 2017

Recorded as SAMIRIS COLLAZO, PSY.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Psychologist (license number reported to NPPES: PR 5652)

🟒
Initial NPI Registration & Enumeration March 31, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639601495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2017
Last Update: February 25, 2020
Sole Proprietor: Yes

Mailing Address

390 Calle Daguao, Urb Villas De Buenaventura

Yabucoa, PR 00767

Phone: 7879513858

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.