Unknown Individual – Psychiatry Physician, NPI 1912963380
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
South Patrick Drive, Satellite Beach, Brevard County, Florida, 32937, United States
SUITE C
SATELLITE BEACH, FL 329373963
Phone: (321) 779-9838
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 2 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($29).
Total Amount
$51
General + Research + Ownership
Payments
2
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $29 |
| Otsuka America Pharmaceutical, Inc. | $22 |
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 677 | 153 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 30 | 16 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 24 | 17 | $0 |
Insurance plans in this area (ZIP 32937)
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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 | 52 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Pediatric Medicine, Psychiatry | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL |
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