Active NPI
Johanna Velez Perez, MA
- Psychologist
- Bayamon, PR
National Provider Identifier
1487061867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5621
- Practice address
- Carretera #2 KM 7.7
Bayamon, PR 00958-0095 - Phone
- (787) 730-6908
- NPI assigned
- Jul 17, 2014
- 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 | 5621 | PR | Primary |
Addresses
Primary practice location
Carretera #2 KM 7.7
Bayamon, PR 00958-0095
Mailing address
Aa13 Calle C
Urb. Bayamon Gardens
Bayamon, PR 00957
Phone (939) 717-3281
Other practice location 1
Call8 Urb Hermanas Davila
Bayamon, PR 00959
Phone (787) 444-3290
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5621 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teen Challenge de Puerto Rico, Inc. | Current | Accepting new patients | |
| Teen Challenge de Puerto Rico, Inc. | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Bayamon, PR
- NPI 1598363954
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bayamon, PR
- NPI 1780486555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1487061867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AA13 CALLE C",
"address_2": "URB. BAYAMON GARDENS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "939-717-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA #2 KM 7.7",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009580095",
"telephone_number": "787-730-6908"
}
],
"practiceLocations": [
{
"address_1": "CALL8 URB HERMANAS DAVILA",
"address_purpose": "LOCATION",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"country_code": "US",
"telephone_number": "787-444-3290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELEZ PEREZ",
"first_name": "JOHANNA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2021-12-27",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 27, 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.