NPIMap

Organization Active NPI

Velez Professional Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camden, NJ
National Provider Identifier
1316344112
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2000456 Issued in NJ
Legal business name
VELEZ PROFESSIONAL SERVICES
Practice address
1000 Atlantic Ave
Camden, NJ 08104-1132
Phone
(856) 966-4515
Fax
(856) 966-4566
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Carmen Milagro Velez
Title
Ceo
Phone
(856) 966-4515

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2000456 NJ Primary
Adult Mental Health Clinic/Center 261QM0850X 2000456 NJ
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2000456 NJ

Addresses

Primary practice location

1000 Atlantic Ave
Camden, NJ 08104-1132

Mailing address

1000 Atlantic Ave
Camden, NJ 08104-1132
Phone (856) 966-4515

Other identifiers 1

IdentifierTypeStateIssuer
0312258MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Velez Professional Services LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1316344112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ATLANTIC AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041132",
            "telephone_number": "856-966-4515",
            "fax_number": "856-966-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ATLANTIC AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041132",
            "telephone_number": "856-966-4515",
            "fax_number": "856-966-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELEZ PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "MILAGRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-966-4515"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "2000456",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "2000456",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "2000456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312258",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.