Provider Demographics
NPI:1306101100
Name:MERCED, FELIX MATTHEW (PSYD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:MATTHEW
Last Name:MERCED
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 21ST ST NW
Mailing Address - Street 2:SUITE A
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5902
Mailing Address - Country:US
Mailing Address - Phone:202-641-1968
Mailing Address - Fax:
Practice Address - Street 1:1429 21ST ST NW
Practice Address - Street 2:SUITE A
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5902
Practice Address - Country:US
Practice Address - Phone:202-641-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1000531103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist