Felizon Vidad, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24711 Issued in CA

Practice address

Highway 1 N
San Luis Obispo, CA 93409-8101

Phone

(805) 547-7900

NPI assigned

Aug 13, 2014

Last updated

May 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1619376845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23423",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930023423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 1 N",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934098101",
            "telephone_number": "805-547-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAD",
        "first_name": "FELIZON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Steve Vernacchia, M.D.
• Jerrold A Vest, M.D.
• Kathryn Jean Veyna, NP
• Margaret K Veyna, RN
• Cindy Lee Victorino
• Jessica Vieira
• Allie Vierra
• Michael Angelo Viggianelli, MD
• Vikram R. Tiku, DDS, Inc.
• Divina Theodosia Villanueva, PSYD

• Clinical Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.