Individual provider Active NPI

Juan F Velosa, M.D.

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1568554699
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2000-01320 Issued in NC
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

Updated by the provider on Feb 26, 2014

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 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

LicenseStateTypeSpecialty
2000-01320NCMDPsychiatry 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.

Verify at the official NPI Registry.