Organization Active NPI

Rebecca a. Feliciano, M.D., Inc

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1962579334
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
13421 Issued in OK
Legal business name
REBECCA A. FELICIANO, M.D., INC
Practice address
2129 SW 59TH St
Oklahoma City, OK 73119-7024
Phone
(405) 272-6216
Fax
(405) 272-6927
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Rebecca A. Feliciano, M.D.
Title
President
Phone
(405) 503-3107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 13421 OK Primary

Addresses

Primary practice location

2129 SW 59TH St
Oklahoma City, OK 73119-7024

Mailing address

PO Box 12883
Oklahoma City, OK 73157-2883
Phone (405) 858-0600

Other identifiers 2

IdentifierTypeStateIssuer
100640320FMedicaidOK
546478285002OtherOKBCBS OF OKLAHOMA

National Provider Directory

National Provider Directory

Locations

1215 Crossroads Blvd
Ste 130
Norman, OK 73072
Phone (405) 664-6451

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1962579334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12883",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572883",
            "telephone_number": "405-858-0600",
            "fax_number": "404-858-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197024",
            "telephone_number": "405-272-6216",
            "fax_number": "405-272-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA A. FELICIANO, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-503-3107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "13421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100640320F",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "546478285002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.