Unknown Individual – Psychiatry Physician, NPI 1629042783
Psychiatry Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 338053065
Phone: (863) 680-7000
Fax: (866) 264-8519
Type: Mailing
1033 N Pkwy Frontage Rd
Lakeland, FL 33803
Phone: (863) 647-8011
Fax: (863) 647-8029
Type: Location
County Road, Ulverston, South Lakeland, Cumbria, North West England, England, LA12 0DB, United Kingdom
LAKELAND, FL 33813
Phone: (863) 607-3689
Fax: (866) 264-8519
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Tris Pharma Inc ($64).
Total Amount
$64
General + Research + Ownership
Payments
1
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tris Pharma Inc | $64 |
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 18 | $0 |
Insurance plans in this area (ZIP 33805)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Pulmonary Disease, Internal Medicine | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| - | FL | |
| Nurse Practitioner | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.