Peysaf Worthalter, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME41125 Issued in FL

Practice address

20824 W Dixie Hwy
Miami, FL 33180-1147

Phone

(305) 654-0907

Fax

(305) 999-0011

NPI assigned

Sep 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orlando Psychiatric Associates Inc.Group PAC ID 1153367545, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Orlando Psychiatric Associates Inc.

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1528172731
  Medicare reassignment Care Compare group NPD
• Peysaf Worthalter, M.D., P.a.

  • Psychiatry Physician
  • Miami, FL
  • NPI 1104032739
  Medicare reassignment NPD Authorized official
• Center for Family and Child Enrichment, Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Gardens, FL
  • NPI 1699106088
  Medicare reassignment NPD
• Psych Associates Inc

  • Psychiatry Physician
  • Miami, FL
  • NPI 1841475613
  NPD (past)

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

• Miami Beach Healthcare Group, LTD.

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673
  Care Compare affiliation

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1265627608",
    "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": {
        "last_name": "WORTHALTER",
        "first_name": "PEYSAF",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME41125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039728800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96159",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Worldwide Health Group Corp
• Worldwide Support Services Corp.
• Alexis Courtney Worn, OT
• Jason A Worrall, D.C.
• Nicole Worthalter Sutton
• Wound Care & Limb Salvage Multidisciplinary Group of Miami PA
• Wound Care and Limb Salvage Group of Miami PA
• Wound Care Medical Services Corp
• Wound Care National Inc
• Wound Care Now

• 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 May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.