Bobby E Felicie, MR.FELICIE

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

S1901902 Issued in VA

Practice address

3205 Oxford Ave
10
Bronx, NY 10463

Phone

(917) 916-7692

NPI assigned

Nov 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• Mr. Bobby Emilio Felicie Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Be.Services & Solutions Agency

  • Counselor
  • Bronx, NY
  • NPI 1275173973

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1174093488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 OXFORD AVE",
            "address_2": "10",
            "city": "THE BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "917-300-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 OXFORD AVE",
            "address_2": "10",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "917-916-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIE",
        "first_name": "BOBBY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MR.FELICIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2021-04-12",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "DC",
            "license": "572462C",
            "primary": false
        },
        {
            "code": "2278S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, SNF/Subacute Care",
            "state": "NY",
            "license": "4005478",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "VA",
            "license": "S1901902",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "036483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION BOARD",
            "identifier": "3057202",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201921906550732320",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH MENTAL THERAPY",
            "identifier": "4005478",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NYSOMIG-2019110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOTHERAPY",
            "identifier": "S1901902",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Site",
            "affiliation": "Y",
            "endpointDescription": "Nyspecialist-bhcs.org",
            "affiliationName": "Joint Commission On Public Ethics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3205 Oxford Ave",
            "address_2": "10",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Site",
            "affiliation": "N",
            "endpointDescription": "State-clinician-bhcs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business.site",
            "address_1": "3205 Oxford Ave",
            "address_2": "10",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "FELICIE",
            "middle_name": "EMILIO",
            "prefix": "MR.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Luisa N Feliciano I, LMHC
• Matilde Feliciano, MSW
• Shelly Ann Feliciano
• Sheyla Feliciano
• Wanda Feliciano
• Felicity Pharmacy
• Drialys Felipe Rodriguez
• Ana Felipe
• Marlene Felipe
• Victor Felipe, OTR/L

• Group Psychotherapy Psychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Group Psychotherapy Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.