Active NPI
Jenna Felici-West, MD
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1437578564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R6778
- Practice address
- 4022 Menchaca Rd
Austin, TX 78704-6746 - Phone
- (512) 982-4116
- Fax
- (512) 265-9008
- NPI assigned
- Apr 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.163422 | IL | |
| Psychiatry Physician | 2084P0800X | R6778 | TX | Primary |
Addresses
Primary practice location
4022 Menchaca Rd
Austin, TX 78704-6746
Mailing address
134 N 4TH St
Brooklyn, NY 11249-3296
Phone (464) 450-7748
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.163422 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1437578564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 N 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493296",
"telephone_number": "464-450-7748",
"fax_number": "718-481-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 MENCHACA RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046746",
"telephone_number": "512-982-4116",
"fax_number": "512-265-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICI-WEST",
"first_name": "JENNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.163422",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "R6778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.