Provider Demographics
NPI:1457986291
Name:ATENEA PSYCHOLOGY INC.
Entity Type:Organization
Organization Name:ATENEA PSYCHOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:YARIS
Authorized Official - Last Name:ORTIZ-MERINO
Authorized Official - Suffix:
Authorized Official - Credentials:PSY M
Authorized Official - Phone:787-220-9396
Mailing Address - Street 1:BO NAVARRO URB VEREDAS
Mailing Address - Street 2:CAMINO LOS JAZMINES #658
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-0000
Mailing Address - Country:US
Mailing Address - Phone:787-220-9396
Mailing Address - Fax:787-886-4603
Practice Address - Street 1:CALLE ORQUIDEA A-48, LOIZA VALLEY
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-0072
Practice Address - Country:US
Practice Address - Phone:787-256-0848
Practice Address - Fax:787-886-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty