Juan Ricardo Feliciano

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8938 Issued in FL

Practice address

11120 S Crown Way Ste 1
Wellington, FL 33414

Phone

(561) 790-1191

NPI assigned

Mar 29, 2007

Last updated

Jun 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Juan Ricardo Feliciano Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shana J. Williams, Psy.D., LLC

  • Psychologist
  • Sunrise, FL
  • NPI 1295186120
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1194845644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 HAMBLIN WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143424",
            "telephone_number": "561-685-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 S CROWN WAY STE 1",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-790-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Sawgrass Corporate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333256244",
            "country_code": "US",
            "telephone_number": "954-298-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "JUAN",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7464",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8938",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "FELICIANO",
            "middle_name": "RICARDO",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Faris J. Fakhoury, MD, PA
• Jessica Farrone
• Mildred R Fecher, LMT
• Jasmine D Federick, LCSW
• Joy Elyn Feinberg, M.A., OTR/L
• Felix Andarsio, D.O.,P.a.
• Jaclyn Suzette Felix, LPC, LMHC
• Alice Feniquito, MD
• Michelle Vaughn Fennessy
• Steven J. Fern, M.D.

• Clinical Psychologist in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.