Javier Antonio Vera, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD2004-122 Issued in NM

Practice address

4253 Montgomery Blvd NE Ste 220
Albuquerque, NM 87109-1130

Phone

(505) 881-5307

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Psychogenesis LLC

  • Psychiatry Physician
  • Albuquerque, NM
  • NPI 1922646595
  NPD Authorized official
• Southwest Cares NV LLC

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1053632851
  NPD (past)
• Valencia Counseling Service Inc

  • Community/Behavioral Health Agency
  • Los Lunas, NM
  • NPI 1407912785
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1093789265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93274",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871993274",
            "telephone_number": "505-585-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 MONTGOMERY BLVD NE STE 220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091130",
            "telephone_number": "505-881-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "JAVIER",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2004-122",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NM",
            "license": "MD2004-0122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47470500",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Ventura
• Norma Janet Ventura, M.D.
• Vicki Ventura, MSN,CNS,APRN,BC
• Heather Ver Brugge, LPCC
• Xavier Vera-Adrianzen
• Sarah Vercauteren
• Adriana Patricia Verdezoto Alvarado, PHD,RDN, LDN
• Carolina Susana Verdezoto, LCSW
• Odie Verdugo
• Kieran Ryan Verduzco, LMHC

• Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; 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.