Unknown Individual – Psychiatry Physician, NPI 1366466476
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322164223
Phone: (844) 808-9096
Fax: (904) 638-8752
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)
CMS reports 5 Open Payments records for all available years, with a total value of $292.
Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($231).
Total Amount
$292
General + Research + Ownership
Payments
5
Total payment records
General Amount
$292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $231 |
| Tris Pharma Inc | $24 |
| Supernus Pharmaceuticals, Inc. | $22 |
| Janssen Pharmaceuticals, Inc | $15 |
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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 129 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 55 | $0 |
| 90837 | Psychotherapy, 1 hour | 107 | 31 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 91 | 44 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 68 | 49 | $0 |
Insurance plans in this area (ZIP 32216)
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