Active NPI
Jose R Felicie-Mejias, LMSW
- Case Manager/Care Coordinator
- Bayamon, PR
National Provider Identifier
1376964601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 15713
- Practice address
- Ave Irlanda HTS
FM 17 Sirio
Bayamon, PR 00956-5359 - Phone
- (939) 717-3235
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2971 | PR | |
| Case Manager/Care Coordinator | 171M00000X | 15713 | LA | Primary |
Addresses
Primary practice location
Ave Irlanda HTS
FM 17 Sirio
Bayamon, PR 00956-5359
Mailing address
1776 Continental Dr Unit 109
Covington, LA 70433-7279
Phone (939) 717-3235
Other names 1
- Dr. Jose R Felicie
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 |
|---|---|---|---|
| 15713 | LA | MD | Case Manager/Care Coordinator |
| 2971 | PR | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615075200000",
"number": "1376964601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 CONTINENTAL DR UNIT 109",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337279",
"telephone_number": "939-717-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE IRLANDA HTS",
"address_2": "FM 17 SIRIO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009565359",
"telephone_number": "939-717-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIE-MEJIAS",
"first_name": "JOSE",
"middle_name": "R",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2021-03-07",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2971",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "15713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "FELICIE",
"middle_name": "R",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.