Peysaf Worthalter, M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PEYSAF WORTHALTER, M.D., P.A.

Practice address

20824 W Dixie Hwy
Miami, FL 33180-1147

Phone

(305) 654-0907

Fax

(305) 999-0011

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peysaf Worthalter, M.D.NPI 1265627608

Title

President

Phone

(305) 654-0907

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peysaf Worthalter, M.D.

  • Psychiatry Physician
  • Miami, FL
  • NPI 1265627608
  Medicare reassignment NPD Authorized official
• Nicole Worthalter Sutton

  • Clinical Social Worker
  • Miami, FL
  • NPI 1457948531
  NPD
• Heather Maureen Brathwaite, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1083628028
  NPD (past)
• William Greenfield, M.D.

  • Psychiatry Physician
  • Miami, FL
  • NPI 1861602179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1104032739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20824 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-654-0907",
            "fax_number": "305-999-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20824 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "305-654-0907",
            "fax_number": "305-999-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEYSAF WORTHALTER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "WORTHALTER",
        "authorized_official_first_name": "PEYSAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-654-0907",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96159",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petsirl Group Home, Inc.
• Jeremy Pettit, PH.D.
• Rachel Pevsner Crum, D.O.
• Deborah Pevsner, M.D.
• Abbas Peymani, MD, MS, PHD
• Marta Ariel Pfaffenberger, MD
• Christine Pfeffer, LMHC
• Michael M Pfeffer, MD
• Brent James Pfeiffer, M.D., PHD
• Dustin Mark Pfundheller, DMD

• Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.