DR. MIRTA N MATOS (PSY.D11/03/) – Psychologist, NPI 1912186040

DR. MIRTA N MATOS (PSY.D11/03/) is a healthcare provider. based in Doral, Florida. specializing in Psychologist. They hold the professional credentials PSY.D11/03/. They hold a License No. PY6454 (FL). The NPI Number for DR. MIRTA N MATOS (PSY.D11/03/) is 1912186040

Main info

Female
Sole Proprietor
Name
DR. MIRTA N MATOS (PSY.D11/03/)
NPI
1912186040
Phone
(305) 599-1970
Address
8249 NW 36TH ST
Enumeration Date
25 October 2007
Last Update Date
26 July 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MIRTA N MATOS (PSY.D11/03/)

  • 8249, Northwest 36th Street, Doral, Miami-Dade County, Florida, 33166, United States

    102

    DORAL, FL 331666673

    Phone: (305) 599-1970

    Fax: (305) 599-1971

    Type: Mailing

  • 8525 SW 92ND ST STE B8

    MIAMI, FL 331567374

    Phone: (305) 596-9989

    Fax: (305) 598-0220

    Type: Mailing

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: 2004-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041204000086IClinical PsychologistFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes712158$0
90791Psychiatric diagnostic evaluation241218$0
90832Psychotherapy, 30 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 33166)

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Reviews

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Frequently asked questions

Can I cross-check DR. MIRTA N MATOS (PSY.D11/03/) using NPI 1912186040?
NPI 1912186040 belongs to DR. MIRTA N MATOS (PSY.D11/03/); compare other details if you need extra assurance.
Would DR. MIRTA N MATOS (PSY.D11/03/) appear as active to a payer?
You can treat DR. MIRTA N MATOS (PSY.D11/03/) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MIRTA N MATOS (PSY.D11/03/)?
At a glance, DR. MIRTA N MATOS (PSY.D11/03/) is tied to Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MIRTA N MATOS (PSY.D11/03/)?
Travel planning: use Doral, Florida as the reference point for DR. MIRTA N MATOS (PSY.D11/03/), then confirm.
When was this NPI issued?
Enumeration for DR. MIRTA N MATOS (PSY.D11/03/) is noted as October 25, 2007 where the registry provides it.

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