Jannelle Feliciano

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

3418 Issued in PR

Practice address

Avenida Fidalgo Diaz
#CL3 Via Emilia, Villa Fontana
Carolina, PR 00983

Phone

(787) 222-4820

NPI assigned

Jun 10, 2020

Last updated

Jun 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1639794159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DUKE #901 UNIVERSITY GARDENS",
            "address_2": "APT. B- 3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274834",
            "telephone_number": "787-222-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA FIDALGO DIAZ",
            "address_2": "#CL3 VIA EMILIA, VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-222-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "JANNELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Maviael Inc
• Farmacia Medina Numer 3 Inc (Farmacia Medina Inc)
• Farmacia Pontezuela 24 LLC (Farmacia Pontezuela 24)
• Tomas Febo, MS
• Jeremy Jason Feliciano Ildefonso, M.D
• Manuel Feliciano, M.D.
• Juan Rafael Fernandez Fernandez, M.D.
• Jenialeen Fernandez Fonseca, RN
• Anays Fernandez Gonzalez, PSY.D
• Euri De Jesus Fernandez Nunez Sr., MD

• Counseling Psychologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.