Individual provider Active NPI

Hilda Everlidis Vega, MD

  • Psychiatry Physician
  • Deland, FL
National Provider Identifier
1891879110
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME70328 Issued in FL
Practice address
201 W Plymouth Ave
Deland, FL 32720-2753
Phone
(386) 873-2963
Fax
(386) 873-2786
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME70328 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME70328 FL

Addresses

Primary practice location

201 W Plymouth Ave
Deland, FL 32720-2753

Mailing address

201 W Plymouth Ave
Deland, FL 32720-2753
Phone (386) 873-2963

Other identifiers 1

IdentifierTypeStateIssuer
000054600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080925000588 FL Practitioner - Psychiatry 8628145141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saafe Behavioral Services LLCGroup PAC ID 5092943241, 11 clinicians

Practice addresses (Care Compare)

201 W Plymouth Ave
Deland, FL 32720-2753
Phone (386) 873-2963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70328FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saafe Behavioral Services LLC CurrentSince Jun 21, 2015 Accepting new patients
Saafe Health Services LLC CurrentSince Jun 21, 2015 Accepting new patients

Locations

201 W Plymouth Ave
Deland, FL 32720
Phone (386) 872-2963

570 Memorial Cir
Ste 200
Ormond Beach, FL 32174
Phone (386) 451-2346

3993 W State Road 46
Sanford, FL 32771
Phone (407) 732-4272

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1891879110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "HILDA",
        "middle_name": "EVERLIDIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME70328",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME70328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000054600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.