FLAVIA DESOUZA – Child & Adolescent Psychiatry Physician, NPI 1316309503
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 PSYCHIATRY in MI
Provider Addresses for FLAVIA DESOUZA
1375 R Dale Wertz Dr # 48413
Bad Axe, MI 484131365
Phone: (860) 301-3140
Type: Location
Café George, 300, George Street, Downtown, New Haven, New Haven County, Connecticut, 06511, United States
SUITE 901
NEW HAVEN, CT 065116624
Phone: (203) 785-2095
Type: Mailing
15146 HASTINGS DR
DOLTON, IL 604192904
Phone: (860) 301-3140
Type: Mailing
1801 PRIMROSE RD NW
WASHINGTON, DC 200122217
Phone: (203) 745-9289
Type: Mailing
2041 GEORGIA AVE NW STE 6101
WASHINGTON, DC 200606624
Phone: (202) 865-6679
Type: Location
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210201001120 | I | Psychiatry | DC | TBD |
| I20240920001003 | I | Psychiatry | MI | TBD |
| I20251202001270 | I | Psychiatry | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 48413)
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