Active NPI
Juan F Velosa, M.D.
- Psychiatry Physician
- Raleigh, NC
National Provider Identifier
1568554699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2000-01320
- Practice address
- 5530 Munford Rd
Suite 119
Raleigh, NC 27612-2638 - Phone
- (919) 782-9554
- Fax
- (919) 782-9130
- NPI assigned
- Sep 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2000-01320 | NC | Primary |
Addresses
Primary practice location
5530 Munford Rd
Suite 119
Raleigh, NC 27612-2638
Mailing address
5530 Munford Rd
Suite 119
Raleigh, NC 27612-2638
Phone (919) 782-9554
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-01320 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1568554699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 MUNFORD RD",
"address_2": "SUITE 119",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276122638",
"telephone_number": "919-782-9554",
"fax_number": "919-782-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 MUNFORD RD",
"address_2": "SUITE 119",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276122638",
"telephone_number": "919-782-9554",
"fax_number": "919-782-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELOSA",
"first_name": "JUAN",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2000-01320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.