Active NPI
Flavio Vega, PSYD
- Clinical Psychologist
- Merrillville, IN
National Provider Identifier
1609107382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042129A
- Practice address
- 8300 Broadway
F1
Merrillville, IN 46410-8602 - Phone
- (219) 736-1000
- Fax
- (219) 736-9699
- NPI assigned
- Jan 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042129A | IN | Primary |
Addresses
Primary practice location
8300 Broadway
F1
Merrillville, IN 46410-8602
Mailing address
8300 Broadway
F1
Merrillville, IN 46410-8602
Phone (219) 736-1000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042129A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-America Psychological & Counseling Service P.C. | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Merrillville, IN
- NPI 1780888727
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1609107382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 BROADWAY",
"address_2": "F1",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464108602",
"telephone_number": "219-736-1000",
"fax_number": "219-736-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 BROADWAY",
"address_2": "F1",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464108602",
"telephone_number": "219-736-1000",
"fax_number": "219-736-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "FLAVIO",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042129A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.