Unknown Individual – Psychiatry Physician, NPI 1245218270

Unknown Individual is a healthcare provider. based in Aventura, Florida. specializing in Psychiatry Physician. They hold a License No. ME0060394 (FL). The NPI Number for Unknown Individual is 1245218270

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245218270
Phone
(305) 932-5500
Address
21110 BISCAYNE BLVD
Deactivation Date
9 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
8820287303
Professional Enrollment ID
I20110114000139
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 21110, Biscayne Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States

    AVENTURA, FL 331801227

    Phone: (305) 932-5500

    Fax: (305) 935-0466

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33180)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYFL90792Psychiatric diagnostic evaluation with medical services3231
PSYCHIATRYFL90836Psychotherapy, 45 minutes with patient and/or family member6116

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1245218270 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Aventura, Florida. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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