Individual provider Active NPI

Maygen L Lafata, DO

  • Psychiatry Physician
  • Tamarac, FL
National Provider Identifier
1174151245
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS20193 Issued in FL
Practice address
7201 N University Dr
Tamarac, FL 33321-2913
Phone
(954) 724-6540
NPI assigned
Apr 1, 2020
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X OS20193 FL Primary

Addresses

Primary practice location

7201 N University Dr
Tamarac, FL 33321-2913

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5933
Phone (888) 852-6672

Other practice location 1

1601 N Palm Ave Ste 211
Pembroke Pines, FL 33026-3204
Phone (954) 771-0010

Other practice location 2

10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

Other practice location 3

11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone (305) 279-5535

Other practice location 4

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832
Phone (305) 891-0050

Other practice location 5

7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985
Phone (954) 771-7743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001697 FL Practitioner - Psychiatry 0547704835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Practice addresses (Care Compare)

7481 W Oakland Park Blvd
Suite 100
Tamarac, FL 33319-4985
Phone (888) 852-6672

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS20193FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Systems, P.a. Psychiatry CurrentSince Jul 8, 2024 Accepting new patients
Compass Health Systems, P.a. Psychiatry CurrentSince Jul 8, 2024 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B6
Boynton Beach, FL 33437
Phone (561) 498-8891

11430 N Kendall Dr
Ste 106
Miami, FL 33176
Phone (305) 279-5535

1065 NE 125th St
Ste 206
North Miami, FL 33161
Phone (305) 891-0050

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

1601 N Palm Ave
Ste 211
Pembroke Pines, FL 33026
Phone (954) 447-0010

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1174151245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615933",
            "telephone_number": "888-852-6672",
            "fax_number": "786-235-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212913",
            "telephone_number": "954-724-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N PALM AVE STE 211",
            "address_purpose": "LOCATION",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263204",
            "country_code": "US",
            "telephone_number": "954-771-0010",
            "fax_number": "954-447-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 HAGEN RANCH RD STE B6",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11430 N KENDALL DR STE 106",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "country_code": "US",
            "telephone_number": "305-279-5535",
            "fax_number": "305-279-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 NE 125TH ST STE 206",
            "address_purpose": "LOCATION",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7481 W OAKLAND PARK BLVD STE 100",
            "address_purpose": "LOCATION",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "country_code": "US",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFATA",
        "first_name": "MAYGEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS20193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.