Unknown Individual – Psychiatry Physician, NPI 1023043262
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1543, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
BLDG 14
ORANGE PARK, FL 320734535
Phone: (904) 264-6977
Fax: (904) 269-0870
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)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32073)
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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 | 253 | 88 |
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