# PSY-Q KIDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PSY-Q KIDS INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669210027
- **Authorized official:** JENNIFER CASTRO (VICEPRESIDENT)
- **Authorized official phone:** (787) 669-1150

## Contact information

- **Practice address:** CONSOLIDATED MALL SUITE 70, AVE JOSE GAUTIER BENITEZ, CAGUAS, PR 00725
- **Practice address phone:** (787) 688-4421
- **Mailing address:** PO BOX 536, CAGUAS, PR 00726-0536
- **Mailing address phone:** (787) 705-5565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 103TF0000X | Family Psychologist | — | NULL | — |
| 103TF0000X | Family Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 2355S0801X | Speech-Language Assistant | — | NULL | — |
| 2355S0801X | Speech-Language Assistant | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 07/18/2024
