Medvidi Health
Organization Active NPI Psychiatry Physician · Jackson, WI
NPI 1245089838 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1245089838
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- MEDVIDI HEALTH
- Practice address
- N168W20379 Main St # 1008
Jackson, WI 53037-9370 - Phone
- (504) 414-5095
- NPI assigned
- May 15, 2024
- Organization subpart
- No
Authorized official
- Name
- Laura E Purdy
- Title
- Ceo
- Phone
- (910) 644-8373
Corporate family (same tax ID) 13
Practitioners 1
National Provider Directory
- Tax ID family
- Medvidi Health PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
N168W20379 Main St # 1008
Jackson, WI 53037-9370
Mailing address
4010 Moorpark Ave Ste 114
San Jose, CA 95117-1804
Phone (415) 966-0848
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- Lauren Ann Mies
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All providers in Jackson, WI · Psychiatry Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.