Ivelise Velez Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05537500 Issued in NJ

Legal business name

IVELISE VELEZ CORPORATION

Practice address

560 Hudson Street
Suite3 Room 2
Hackensack, NJ 07601

Phone

(201) 208-8089

Fax

(201) 440-5204

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Ivelise Velez, LCSWNPI 1679816722

Title

Psychotherapist/Owner

Phone

(201) 208-8089

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivelise Velez, LCSW

  • Clinical Social Worker
  • Hackensack, NJ
  • NPI 1679816722
  NPD (past) Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1790168359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HUDSON STREET",
            "address_2": "SUITE3 ROOM 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-208-8089",
            "fax_number": "201-440-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 HUDSON STREET",
            "address_2": "SUITE3 ROOM 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-208-8089",
            "fax_number": "201-440-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVELISE VELEZ CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "IVELISE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "201-208-8089",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05537500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.