Island Therapy Collective LLC is a Clinical Psychologist (organization) practicing in San German, PR. The National Provider Identifier (NPI) is #1851101935, which was assigned on January 10, 2025, and the registration record was last updated on January 24, 2025. The practitioner's main practice location is at 231 Calle Amapola, San German, PR 00683-9011; the contact telephone number is 7874328085. The primary taxonomy of Island Therapy Collective LLC is Clinical Psychologist (103TC0700X), with specialization in Clinical. The authorized official for Island Therapy Collective LLC is Dr. Javier Robledo Rivera (Principal Resident Agent).
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
| NPI | 1851101935 |
| Entity Type | Organization |
| Organization Name | ISLAND THERAPY COLLECTIVE LLC |
| Provider Name | ISLAND THERAPY COLLECTIVE LLC |
| Practice Address |
231 Calle Amapola San German PR 00683-9011 |
| Practice Telephone | 7874328085 |
| Mailing Address |
231 Calle Amapola San German PR 00683-9011 |
| Mailing Telephone | 7874328085 |
| Certification Date | 2025-01-24 |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-24 |
| Is Organization Subpart | N |
| Official Name | DR. JAVIER ROBLEDO RIVERA |
| Official Title | PRINCIPAL RESIDENT AGENT |
| Credential | PSYD |
| Telephone | 7874329085 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 103TC0700X | Psychologist | Clinical | 193400000X SINGLE SPECIALTY GROUP | ||
| N | 261QM0850X | Clinic/Center | Adult Mental Health |
| Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| Classification | Psychologist |
| Specialization | Clinical |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. |
| Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition] |
| Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| Grouping | Ambulatory Health Care Facilities |
| Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jourdan Marie Porter, Psyd Med LLC | 37 S Ruby St, Philadelphia, PA 19139-3322 | Clinical Psychologist | 2025-03-08 |
| 5 Stones Therapy and Wellness | 5565 Airport Hwy Ste 200, Toledo, OH 43615-7379 | Clinical Psychologist | 2025-03-06 |
| Hassan Koubayssi | 4520 Firestone St, Dearborn, MI 48126-4602 | Clinical Psychologist | 2025-03-07 |
| Rachel E Stough | 2345 Murray Ave Ste 305, Pittsburgh, PA 15217-2352 | Clinical Psychologist | 2025-03-05 |
| Samantha Weatherhead | 4808 Fielding Way, Louisville, KY 40216-2510 | Clinical Psychologist | 2025-03-07 |
| Revive Neurofeedback Inc | 2620 River Rd Ste E, Eugene, OR 97404-5013 | Clinical Psychologist | 2025-03-07 |
| Nancy E. Cochran Psy.D Ltd | 1585 Woodcrest Ct, Aurora, IL 60502-1324 | Clinical Psychologist | 2025-03-05 |
| Musich Psychotherapy PLLC | 13880 W Russell Rd, Zion, IL 60099-9217 | Clinical Psychologist | 2025-03-04 |
| Maya Weir Psy D Clinical Psychologist PC | 1011 Professional Dr Ste A, Napa, CA 94558-6413 | Clinical Psychologist | 2025-03-05 |
| Alexander F Roding | 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 | Clinical Psychologist | 2025-03-08 |
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| Street Address |
231 CALLE AMAPOLA |
| City | SAN GERMAN |
| State | PR |
| Zip Code | 00683-9011 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jose Francisco Aviles-Acosta | 231 Calle Amapola, San German, PR 00683-9011 | Clinical Psychologist | 2022-07-14 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kristal Rosuan Reyes Sanchez | Carr #2 Km 173.4, Bo Cain Alto, San German, PR 00683 | Pharmacist | 2024-02-09 |
| Noely Y Ramos Vega | 83 Calle Comerio Luna, Local 209, San German, PR 00683 | Psychologist | 2024-06-26 |
| Luna Cristal Flores Nazario | Carr 118 Int Km 4.7 Chalets Antonia 7, San German, PR 00683 | General Practice Physician | 2024-08-13 |
| Carlos Gustavo Grana Morales | Carr #2 Km 173, San German, PR 00683 | Student in an Organized Health Care Education/Training Program | 2024-04-17 |
| Yaray Espinosa Yera | Carr. 2 Km 173.4, San German, PR 00683 | General Practice Physician | 2024-08-12 |
| Omt Ocasio Medical Transport LLC | Urb El Real 124 Calle Principe, San German, PR 00683 | Land Ambulance | 2024-07-18 |
| West Pain Douler Sg Institute LLC | Carr 2 Km 173.4, Bo Cain Alto, San German, PR 00683 | Pain Medicine (Anesthesiology) Physician | 2024-10-07 |
| Alexis Jose Velazquez Machado | Carr. #2 Km 173.4, San German, PR 00683 | Student in an Organized Health Care Education/Training Program | 2024-05-06 |
| Roberto J Santiago | Barrio Rosario Bajo, Rosaura Arroyo, Numero 3 Carretera 348,Km Hm 9.1, San German, PR 00683 | Clinical Psychologist | 2024-10-18 |
| Marlene Diane Rivera Ferrer | Urb La Nueva Salamanca, 113 Madrid, San German, PR 00683 | Student in an Organized Health Care Education/Training Program | 2024-05-10 |
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| Nw Therapy Collective LLC | 400 E 2nd Ave Ste 104e, Eugene, OR 97401-2452 | Professional Counselor | 2019-10-21 |
| Behavioral Therapy Collective | 625 N Maple Ave, Ho Ho Kus, NJ 07423-1589 | Clinical Social Worker | 2018-11-14 |
| Eclectic Therapy Collective, LLC | 6012 Walton Rd, Bethesda, MD 20817-2519 | Professional Counselor | 2023-01-23 |
| Through Therapy Collective, Inc | 3217 Hennepin Ave Ste 3, Minneapolis, MN 55408-4695 | Marriage & Family Therapist | 2019-03-11 |
| Connective Therapy Collective | 4531 Se Belmont St Ste 117, Portland, OR 97215-1675 | Clinical Social Worker | 2019-11-06 |
| Milwaukee Art Therapy Collective LLC | 9224 W Burleigh St, Milwaukee, WI 53222-3503 | Mental Health Counselor | 2020-09-07 |
| Collective Therapy | 5377 Highway N Ste 424, Cottleville, MO 63304-8032 | Hearing and Speech Clinic/Center | 2022-04-14 |
| In Between Therapy Collective LLC | 3726 Se Lafayette Ct, Portland, OR 97202-1874 | Marriage & Family Therapist | 2023-02-24 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |