Individual provider Active NPI

Lina M Villegas Pelaez, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1508025750
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
267078 Issued in NY
Practice address
250 Baltic St
Brooklyn, NY 11201-6401
Phone
(718) 855-3131
Fax
(718) 855-4011
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 267078 NY Primary

Addresses

Primary practice location

250 Baltic St
Brooklyn, NY 11201-6401

Mailing address

314 12TH St Apt 6
Brooklyn, NY 11215-6787
Phone (646) 775-7756

Other practice location 1

4802 10th Ave
psychiatry department,
Brooklyn, NY 11219-2916
Phone (718) 283-8153

Other identifiers 1

IdentifierTypeStateIssuer
267078OtherNYNYS LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
267078NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Mekles MD PC Psychiatry CurrentSince Sep 14, 2025 Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
South Beach Psychiatric Center PastSince Apr 25, 2021 Accepting new patients
Baltic Street Clinic PastSince Apr 25, 2021 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
Maimonides Department of Psychiatry FPP Psychiatry Past Accepting new patients

Locations

353 Lexington Ave
Rm 800
New York, NY 10016
Phone (917) 391-0076

Interoperability endpoints

  • Direct secure messaging: lvillegaspelaez1698172@nychhc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1508025750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 12TH ST APT 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156787",
            "telephone_number": "646-775-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BALTIC ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016401",
            "telephone_number": "718-855-3131",
            "fax_number": "718-855-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Ave",
            "address_2": "psychiatry department,",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192916",
            "country_code": "US",
            "telephone_number": "718-283-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLEGAS PELAEZ",
        "first_name": "LINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "267078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "267078",
            "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 Aug 20, 2024; 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.