Individual provider Active NPI

Patricia Alejandra Velazquez, PSYCHOLOGIST

  • Psychologist
  • Santa Fe, NM
National Provider Identifier
1023348380
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1654 Issued in NM
Practice address
1925 Aspen Drive
Suite 302 a
Santa Fe, NM 87505-5588
Phone
(505) 660-1558
NPI assigned
Jan 10, 2010
Last updated
Apr 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0148551 NM
Psychologist 103T00000X PSY1654 NM Primary

Addresses

Primary practice location

1925 Aspen Drive
Suite 302 a
Santa Fe, NM 87505-5588

Mailing address

1304 Avenida Aliso
Santa Fe, NM 87501-1602
Phone (505) 660-1558

Other practice location 1

1221 S Saint Francis Dr Ste B
Santa Fe, NM 87505-4036
Phone (505) 660-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0148551NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Postgraduate Studies Psychologist Current Accepting new patients

Locations

1221 S Saint Francis Dr
Ste B
Santa Fe, NM 87505
Phone (505) 587-0869

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1023348380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 AVENIDA ALISO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011602",
            "telephone_number": "505-660-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DRIVE",
            "address_2": "SUITE 302 A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055588",
            "telephone_number": "505-660-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Saint Francis Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054036",
            "country_code": "US",
            "telephone_number": "505-660-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "PATRICIA",
        "middle_name": "ALEJANDRA",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-10",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0148551",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "PSY1654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.