Unknown Individual – Psychiatry Physician, NPI 1215039599
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for Unknown Individual
12315 SW 64 AVENUE
MIAMI, FL 33156
Phone: (305) 301-3143
Fax: (305) 558-6134
Type: Mailing
6175 NW 153 ST
#404
MIAMI LAKES, FL 33014
Phone: (305) 558-7400
Fax: (305) 558-6134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $259.
Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Balt USA, LLC ($259).
Total Amount
$259
General + Research + Ownership
Payments
3
Total payment records
General Amount
$259
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Balt USA, LLC | $259 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 166 | 47 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 126 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 21 | $0 |
Insurance plans in this area (ZIP 33156)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | FL | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 179 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | FL | |
| Clinical Psychologist | FL |
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