# HAPPY BRAINS PSYCHOLOGY PR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699428086
- **Authorized official:** DR. NILMARIE MATOS FRADERA DR (SICOLOGA)
- **Authorized official phone:** (787) 900-3983

## Contact information

- **Practice address:** URB VILLA BLANCA, CALLE ACERINA 2, CAGUAS, PR 00725
- **Practice address phone:** (787) 900-3983
- **Mailing address:** URB VILLA MARIA CALLE 3 T 17, CAGUAS, PR 00725
- **Mailing address phone:** (787) 900-3983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2022
- **Last updated:** 01/27/2022