Provider Demographics
NPI:1730990912
Name:ROSS PSYCHOLOGY AND EDUCATION SERVICES PSC
Entity type:Organization
Organization Name:ROSS PSYCHOLOGY AND EDUCATION SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCOLOGY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOMAIRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROSS CASIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-944-5477
Mailing Address - Street 1:105 EL DORADO CLB
Mailing Address - Street 2:
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-8824
Mailing Address - Country:US
Mailing Address - Phone:787-944-5477
Mailing Address - Fax:
Practice Address - Street 1:CARR 358 KM 2.1 INT
Practice Address - Street 2:BO HOCONUCO BAJO
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-944-5477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty