Individual provider Active NPI

Vicente Figueroa, M.D.

  • Child & Adolescent Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1205078425
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0031582 Issued in MD
Practice address
932 Hungerford Dr
Suite 1-a
Rockville, MD 20850-6155
Phone
(301) 221-2090
Fax
(240) 892-0192
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0031582 MD
Child & Adolescent Psychiatry Physician 2084P0804X D0031582 MD Primary

Addresses

Primary practice location

932 Hungerford Dr
Suite 1-a
Rockville, MD 20850-6155

Mailing address

308 1St St
Rockville, MD 20851-1311
Phone (301) 221-2090

Other identifiers 1

IdentifierTypeStateIssuer
435231900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0031582MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicente Figueroa MD Psychiatry Past Accepting new patients
Medical Illness Counseling Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1205078425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 1ST ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511311",
            "telephone_number": "301-221-2090",
            "fax_number": "240-892-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 HUNGERFORD DR",
            "address_2": "SUITE 1-A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506155",
            "telephone_number": "301-221-2090",
            "fax_number": "240-892-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "VICENTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0031582",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0031582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435231900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.