Individual provider Active NPI

Maria Nicole a Villafuerte, D.O.

  • Psychiatry Physician
  • Ferndale, MI
National Provider Identifier
1659576718
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101017404 Issued in MI
Practice address
10300 W 8 Mile Rd
Ferndale, MI 48220-2100
Phone
(248) 398-3200
NPI assigned
Jun 19, 2007
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101017404 MI Primary

Addresses

Primary practice location

10300 W 8 Mile Rd
Ferndale, MI 48220-2100

Mailing address

10300 W 8 Mile Rd
Ferndale, MI 48220-2100
Phone (248) 398-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110708000262 MI Practitioner - Psychiatry 4082892393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians

Practice addresses (Care Compare)

31500 Schoolcraft Rd
Livonia, MI 48150-1805
Phone (800) 395-3223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Jan 11, 2018 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jan 11, 2018 Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

2401 S Linden Rd
Flint, MI 48532
Phone (810) 957-4310

31500 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 422-9340

Interoperability endpoints

  • Direct secure messaging: mvillafuerte13981@direct.hfhs.org

Organizations & group practices 2

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1659576718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W 8 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202100",
            "telephone_number": "248-398-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W 8 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202100",
            "telephone_number": "248-398-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFUERTE",
        "first_name": "MARIA",
        "middle_name": "NICOLE A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101017404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.