Individual provider Active NPI

Velda M Vela-Trujillo, PH.D.

  • Psychologist
  • Corpus Christi, TX
National Provider Identifier
1568626927
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
31264 Issued in TX
Practice address
700 Everhart Rd
Suite H-21
Corpus Christi, TX 78411-1926
Phone
(361) 225-2525
Fax
(361) 814-5200
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 31264 TX Primary

Addresses

Primary practice location

700 Everhart Rd
Suite H-21
Corpus Christi, TX 78411-1926

Mailing address

700 Everhart Rd
Suite H-21
Corpus Christi, TX 78411-1926
Phone (361) 225-2525

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31264TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kandice Fricke-Smith, LPC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1568626927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EVERHART RD",
            "address_2": "SUITE H-21",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111926",
            "telephone_number": "361-225-2525",
            "fax_number": "361-814-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EVERHART RD",
            "address_2": "SUITE H-21",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111926",
            "telephone_number": "361-225-2525",
            "fax_number": "361-814-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA-TRUJILLO",
        "first_name": "VELDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "31264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.