Organization Active NPI

J.F. Nieto, M.D., P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
National Provider Identifier
1801991583
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
F7365 Issued in TX
Legal business name
J.F. NIETO, M.D., P.A.
Practice address
3208 Broadway St
Houston, TX 77017-2321
Phone
(713) 641-5656
Fax
(713) 641-5293
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. J. Felipe Nieto, M.D.
Title
President/Medical Director
Phone
(713) 641-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X F7365 TX Primary

Addresses

Primary practice location

3208 Broadway St
Houston, TX 77017-2321

Mailing address

3208 Broadway St
Houston, TX 77017-2321
Phone (713) 641-5656

Other identifiers 3

IdentifierTypeStateIssuer
133829502MedicaidTX
000000CA82OtherTXBC BS
133829507MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1801991583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770172321",
            "telephone_number": "713-641-5656",
            "fax_number": "713-641-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770172321",
            "telephone_number": "713-641-5656",
            "fax_number": "713-641-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.F. NIETO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "J. FELIPE",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-641-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "F7365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133829502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000000CA82",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133829507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.