Organization Active NPI

Valera Medical, P.a.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1871248757
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VALERA MEDICAL, P.A.
Practice address
134 N 4TH St
Brooklyn, NY 11249-3296
Phone
(646) 450-7748
NPI assigned
Feb 18, 2022
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Michele McCleary
Title
Director of Operations
Phone
(646) 450-7748

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

134 N 4TH St
Brooklyn, NY 11249-3296

Mailing address

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, CT, FL, IL, TX, ID, CO7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20220809000354 VT Part B Supplier - Clinic/Group Practice 6406238310 Receives reassigned benefits from 21 practitioners
Practice locations: Burlington, VT
O20220929001879 CT Part B Supplier - Clinic/Group Practice 6406238310 Receives reassigned benefits from 8 practitioners
Practice locations: Hartford, CT
O20221017003338 FL Part B Supplier - Clinic/Group Practice 6406238310 Receives reassigned benefits from 15 practitioners
Practice locations: Orlando, FL
O20221101001495 IL Part B Supplier - Clinic/Group Practice 6406238310 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL
O20221117002199 TX Part B Supplier - Clinic/Group Practice 6406238310 Receives reassigned benefits from 17 practitioners
Practice locations: Harlingen, TX; Pearland, TX; Midlothian, TX; Mansfield, TX; Houston, TX; Fort Worth, TX; El Paso, TX; Desoto, TX…
O20221207002449 ID Part B Supplier - Clinic/Group Practice 6406238310 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID
O20241008000733 CO Part B Supplier - Clinic/Group Practice 6406238310 Receives reassigned benefits from 15 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

611 Newman St
Ste B
El Paso, TX 79902

1 Lawson Ln
Ste 200D
Burlington, VT 05401
Phone (802) 236-6742

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1871248757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493296",
            "telephone_number": "646-450-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493296",
            "telephone_number": "646-450-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERA MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "MCCLEARY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "646-450-7748"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.