Active NPI
Veda Ozelle
- Marriage & Family Therapist
- Capitola, CA
National Provider Identifier
1154554665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT51410
- Practice address
- 4245 Capitola Rd Ste 205
Capitola, CA 95010-3573 - Phone
- (831) 713-9177
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT51410 | CA | Primary |
Addresses
Primary practice location
4245 Capitola Rd Ste 205
Capitola, CA 95010-3573
Mailing address
4245 Capitola Rd Ste 205
Capitola, CA 95010-3573
Phone (831) 713-9177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92069Z | Other | CA | SANTA CRUZ COUNTY HSA-MENTAL HEALTH MEDICARE GROUP PTAN# |
| FHC 70042F | Other | CA | SANTA CRUZ COUNTY HSA-MENTAL HEALTH MEDI-CAL PROVIDER # |
Other names 1
- Veda Ozelle Critchlow
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT51410 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1154554665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 CAPITOLA RD STE 205",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103573",
"telephone_number": "831-713-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 CAPITOLA RD STE 205",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950103573",
"telephone_number": "831-713-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZELLE",
"first_name": "VEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT51410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY HSA-MENTAL HEALTH MEDICARE GROUP PTAN#",
"identifier": "ZZZ92069Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY HSA-MENTAL HEALTH MEDI-CAL PROVIDER #",
"identifier": "FHC 70042F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VEDA",
"last_name": "CRITCHLOW",
"middle_name": "OZELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.