Active NPI
Miriam Velez, PHD
- Psychologist
- Brooklyn, NY
National Provider Identifier
1275593329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 012446
- Practice address
- 517 6TH St
Brooklyn, NY 11215-3608 - Phone
- (718) 496-2284
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 012446 | NY | Primary |
Addresses
Primary practice location
517 6TH St
Brooklyn, NY 11215-3608
Mailing address
180 Dean St
Brooklyn, NY 11217-2212
Phone (718) 496-2284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02358721 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040527000583 | NY | Practitioner - Clinical Psychologist | 4880675602 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
180 Dean St
Brooklyn, NY 11217-2212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012446 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1275593329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 DEAN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172212",
"telephone_number": "718-496-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153608",
"telephone_number": "718-496-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "MIRIAM",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "012446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02358721",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.