Organization
MINDWELL PSYCHOLOGY CLINIC
Active
Organization
MINDWELL PSYCHOLOGY CLINIC
Active
Parent organization
MINDWELL PSYCHOLOGY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINDWELL PSYCHOLOGY CLINIC
Authorized official
DR. JELISSE MATOS PSYD (PSICOLOGA)
(787) 905-5216
Entity
Organization
Contact information
Practice address
AVENIDA MUNOZ RIVERA URB MARIANI, 1583 LOCAL 2, PONCE, PR 00717
(787) 905-5216
Mailing address
202 CALLE PRINCIPE, COTO LAUREL, PR 00780-3211
(787) 905-5216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133N00000X
Nutritionist
—
—
207Q00000X
Family Medicine Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/24/2026
Last updated
07/22/2026
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