Individual provider Active NPI

Vitae Felix, PHD

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1487217584
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005091 Issued in AZ
Practice address
5010 E Warner Rd Ste 213
Phoenix, AZ 85044
Phone
(602) 708-0840
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 005091 AZ Primary

Addresses

Primary practice location

5010 E Warner Rd Ste 213
Phoenix, AZ 85044

Mailing address

5010 E Warner Rd Ste 213
Phoenix, AZ 85044-3374
Phone (602) 708-0840

Other practice location 1

9855 S Priest Dr
Tempe, AZ 85284-3605
Phone (602) 708-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812003175 AZ Practitioner - Clinical Psychologist 2860729910

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5010 E Warner Rd
Suite 213
Phoenix, AZ 85044-3374

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Juniper Psychology, PLLC Clinical CurrentSince May 16, 2019 Accepting new patients

Locations

5010 E Warner Rd
Ste 202
Phoenix, AZ 85044

5010 E Warner Rd
Ste 213
Phoenix, AZ 85044
Phone (602) 708-0840

Organizations & group practices 1

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1487217584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E WARNER RD STE 213",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443374",
            "telephone_number": "602-708-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E WARNER RD STE 213",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "602-708-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9855 S Priest Dr",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852843605",
            "country_code": "US",
            "telephone_number": "602-708-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIX",
        "first_name": "VITAE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "005091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.