Unknown Individual – Geriatric Psychiatry Physician, NPI 1629106000

Unknown Individual is a healthcare provider. based in Miami beach, Florida. specializing in Geriatric Psychiatry Physician. They hold a License No. ME0047100 (FL). The NPI Number for Unknown Individual is 1629106000

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629106000
Phone
(305) 534-8550
Address
400 W 41ST ST
Deactivation Date
11 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3055348550
Graduation Year
1985 (41 years ago)
PAC ID
9931131331
Professional Enrollment ID
I20121130000131
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 400 W 41ST ST

    SUITE 406

    MIAMI BEACH, FL 331403516

    Phone: (305) 534-8550

    Fax: (305) 534-3790

    Type: Mailing

  • 960 W 41ST ST STE 304

    MIAMI BEACH, FL 331403348

    Phone: (305) 534-8550

    Fax: (305) 534-3790

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 33140)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Geriatric Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYFL90792Psychiatric diagnostic evaluation with medical services5656
PSYCHIATRYFL90833Psychotherapy, 30 minutes with patient and/or family member419113
PSYCHIATRYFL90836Psychotherapy, 45 minutes with patient and/or family member30872

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.

Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1629106000.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Geriatric Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Miami Beach?
Public fields place Unknown Individual around Miami Beach, Florida. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

DR. JOHN HUTCHFIELD JR. BURGER (M.D.)

Geriatric Psychiatry Physician
6538, Collins Avenue, Atlantic Heights, Miami Beach, Miami-Dade County, Florida, 33141, United States
NPI: 1831197631

SARA M BODNER (MD)

Psychiatry Physician
4525-4527, North Ravenswood Avenue, Ravenswood Place, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60618-9997, United States
NPI: 1881637999

TOBY BERMAN (PSY. D.)

Geriatric Psychiatry Physician
4302, Alton Road, Miami Beach, Miami-Dade County, Florida, 33140, United States
NPI: 1720002728

DR. HERBERT L. ROTHMAN (M.D.)

Geriatric Psychiatry Physician
4302, Alton Road, Miami Beach, Miami-Dade County, Florida, 33140, United States
NPI: 1528082518

FRANCES M. BERMAN GOODSITE (PSY.D.)

Geriatric Psychiatry Physician
Mount Sinai Medical Center, 4300, Alton Road, Miami Beach, Miami-Dade County, Florida, 33140, United States
NPI: 1245254242

The Center for Adult and Geriatric Psychiatry

Geriatric Psychiatry Physician
Foot & Ankle: Berkowitz Kevin D DPM, 4308, Alton Road, Miami Beach, Miami-Dade County, Florida, 33140, United States
NPI: 1114029881

BARBARA SPARACINO, M.D., P.A.

Psychiatry Physician
3611 SW 87TH AVE
NPI: 1649510702

AMT HEALTH LLC

Psychiatry Physician
1717 North Bayshore Drive
NPI: 1285368779