Individual provider Active NPI

Daniela Badea-Mic, M.D.

  • Psychiatry Physician
  • Corpus Christi, TX
National Provider Identifier
1467431783
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J6863 Issued in TX
Practice address
527 Gordon St
Corpus Christi, TX 78404-2535
Phone
(361) 850-8300
Fax
(361) 850-8302
NPI assigned
Jan 13, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X J6863 TX
Psychiatry Physician 2084P0800X J6863 TX Primary

Addresses

Primary practice location

527 Gordon St
Corpus Christi, TX 78404-2535

Mailing address

527 Gordon St
Corpus Christi, TX 78404-2535
Phone (361) 850-8300

Other identifiers 2

IdentifierTypeStateIssuer
178162701MedicaidTX
101580203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000706 TX Practitioner - Psychiatry 5890716906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6863TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniela Badea-Mic Multi-Specialty Past Accepting new patients
Psychiatric Consulting Services Multi-Specialty PastSince Jul 13, 1993 Accepting new patients
Bay Area Psychiatry Services PC Multi-Specialty Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1467431783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 GORDON ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042535",
            "telephone_number": "361-850-8300",
            "fax_number": "361-850-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 GORDON ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042535",
            "telephone_number": "361-850-8300",
            "fax_number": "361-850-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEA-MIC",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "J6863",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J6863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178162701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101580203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.