Organization Active NPI

Ven Mental Health Vero Beach, LLC

  • Psychiatry Physician
  • Vero Beach, FL
National Provider Identifier
1790504553
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VEN MENTAL HEALTH VERO BEACH, LLC
Practice address
847 20TH PL
Vero Beach, FL 32960-5357
Phone
(402) 991-9630
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Vithyalakshmi Selvaraj, MD
Title
Owner
Phone
(402) 991-9630

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Counseling Psychologist 103TC1900X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

847 20TH PL
Vero Beach, FL 32960-5357

Mailing address

13917 Gold Cir
Omaha, NE 68144-2359
Phone (402) 991-9630

National Provider Directory

National Provider Directory

Locations

847 20th Pl
Vero Beach, FL 32960
Phone (402) 991-9630

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1790504553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 GOLD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442359",
            "telephone_number": "402-991-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 20TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605357",
            "telephone_number": "402-991-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEN MENTAL HEALTH VERO BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "SELVARAJ",
        "authorized_official_first_name": "VITHYALAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-991-9630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.