Otsenre E Matos M D P a

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

OTSENRE E MATOS M D P A

Practice address

4821 US Highway 19 Ste 1
New PRT Rchy, FL 34652-4259

Phone

(727) 849-2005

Fax

(727) 849-2087

NPI assigned

Oct 20, 2006

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Otsenre E Matos, MD

Title

Owner/Medical Director

Phone

(727) 849-2005

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joyce A Parks, ARNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • New PRT Rchy, FL
  • NPI 1982684791
  NPD (past)
• Alma E Reif, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring Hill, FL
  • NPI 1114902574
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1285716977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "ELFERS",
            "state": "FL",
            "postal_code": "346801014",
            "telephone_number": "727-849-2005",
            "fax_number": "727-849-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 US HIGHWAY 19 STE 1",
            "city": "NEW PRT RCHY",
            "state": "FL",
            "postal_code": "346524259",
            "telephone_number": "727-849-2005",
            "fax_number": "727-849-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSENRE E MATOS M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "OTSENRE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-849-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CH4227",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP",
            "identifier": "162704600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamad Khalid Jibawi, M.D.
• Robin D Kobbermann
• Melissa Kurzweil, RBT
• Legacy Healing Services, LLC
• Amanda Merski, LCSW
• Youssef Ouazzani
• Joyce A Parks, ARNP
• Paws-a-While Counseling
• Pediatric ABA 5 Inc
• Jeanette Przybyszewski, BCBA

• Psychiatry Physician in New PRT Rchy, FL
• Providers in New PRT Rchy, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.