OrganizationMindset Therapy GroupPsychologistBehavioral Health & Social Service ProvidersPractice AddressAvenida Nativa Alers, Barrio Piedras Blancas Sector Desvio Sur 108l, Aguada, PR 00602(787) 692-4595PECOS EnrollmentBased on the most recent information from CMS, provider Mindset Therapy Group does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871207704Provider TypeOrganizationFull NameMindset Therapy GroupSubpartNoEnumeration Date1/5/2023Last Updated1/5/2023Contact InformationPractice LocationPractice AddressAvenida Nativa Alers, Barrio Piedras Blancas Sector Desvio Sur 108l, Aguada, PR 00602Phone(787) 692-4595FaxUnlisted FaxMailing LocationMailing AddressAvenida Nativa Alers, Barrio Piedras Blancas Sector Desvio Sur 108l, Aguada, PR 00602PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameRamirez Cruz, Stephanie D (Clinical Psychologist)Phone(787) 692-4595Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1861052359DescriptionMedicaidIssuerUnlistedPuerto RicoID1831847029DescriptionOtherIssuerNPIPuerto RicoID039112400DescriptionMedicaidIssuerUnlistedPuerto Rico