Organization Active NPI

Felipe Videla MD PC

  • Psychiatry Physician
  • Flint, MI
National Provider Identifier
1043382591
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301029345 Issued in MI
Legal business name
FELIPE VIDELA MD PC
Practice address
G5154 Miller Rd
Suite CN
Flint, MI 48507
Phone
(810) 733-0710
Fax
(810) 733-0715
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Felipe Videla, MD
Title
Owner
Phone
(810) 733-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301029345 MI Primary

Addresses

Primary practice location

G5154 Miller Rd
Suite CN
Flint, MI 48507

Mailing address

G5154 Miller Rd
Suite CN
Flint, MI 48507
Phone (810) 733-0710

National Provider Directory

National Provider Directory

Locations

5154G Miller Rd
Ste Cn
Flint, MI 48507
Phone (810) 733-0710

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1043382591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G5154 MILLER RD",
            "address_2": "SUITE CN",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-733-0710",
            "fax_number": "810-733-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G5154 MILLER RD",
            "address_2": "SUITE CN",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-733-0710",
            "fax_number": "810-733-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIPE VIDELA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "VIDELA",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-733-0710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301029345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.