Active NPI
Felipe Videla MD PC
- Psychiatry Physician
- Flint, MI
National Provider Identifier
1043382591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301029345
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.