Active NPI
Norman Rudy Silva, MS,BA
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1548738677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4131 University Blvd S Ste 15
Jacksonville, FL 32216-4346 - Phone
- (904) 745-0067
- NPI assigned
- Nov 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4131 University Blvd S Ste 15
Jacksonville, FL 32216-4346
Mailing address
13990 Bartram Park Blvd Unit 1520
Jacksonville, FL 32258-5557
Phone (904) 294-5274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Bachelor of Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1548738677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13990 BARTRAM PARK BLVD UNIT 1520",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585557",
"telephone_number": "904-294-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 UNIVERSITY BLVD S STE 15",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164346",
"telephone_number": "904-745-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "NORMAN",
"middle_name": "RUDY",
"name_prefix": "Mr.",
"credential": "MS,BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YM0800X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.