VELEZ PROFESSIONAL SERVICES NPI 1316344112

NPI Information

NPI: 1316344112
Provider Name: VELEZ PROFESSIONAL SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1000 ATLANTIC AVE
CAMDEN, NJ
ZIP 08104
Phone: (856) 966-4515
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VELEZ PROFESSIONAL SERVICES is a mental health (including community mental health center) clinic center in Camden, NJ. VELEZ PROFESSIONAL SERVICES NPI is 1316344112. The provider is registered as an organization entity type.

The provider's business location address is:

1000 ATLANTIC AVE
CAMDEN, NJ
ZIP 08104-132
Phone: (856) 966-4515
Fax: (856) 966-4566

The provider's authorized official is Carmen Milagro Velez .
The authorized official title is Ceo and has the following contact phone number (856) 966-4515.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 11/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	2000456	NEW JERSEY	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	2000456	NEW JERSEY	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	2000456	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0312258	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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