Active NPI
J.F. Nieto, M.D., P.a.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
National Provider Identifier
1801991583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- F7365
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133829502 | Medicaid | TX | |
| 000000CA82 | Other | TX | BC BS |
| 133829507 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.