Mente Activa
NPI 1023561230ActiveOrganization· Psychologist, Cognitive & Behavioral· Ponce, PR
Psychologist, Cognitive & Behavioral in Ponce, Puerto Rico, registered in NPPES in July 2016. The authorized official on file is Jaisselle Marie Vega, PHD, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023561230 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2016 |
| Last updated in NPPES | Apr 17, 2021 |
| Certified by provider | Apr 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | — | — |
| Alzheimer Center (Dementia Center) | 311500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
Other Psychologist, Cognitive & Behavioral providers in Ponce
- 1104379320
All Psychologist, Cognitive & Behavioral providers in Puerto Rico