Joseph M. Mavica.D.O. PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS0006380 Issued in FL

Legal business name

JOSEPH M. MAVICA.D.O. PA

Practice address

2600 N Military TRL
Suite 215
Boca Raton, FL 33431-6312

Phone

(561) 395-3778

Fax

(561) 395-5691

NPI assigned

Apr 5, 2011

Last updated

Apr 5, 2011By 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

Mrs. Carol B Mavica

Title

Office Manager

Phone

(561) 395-3778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Joesph Mark Mavica, DO

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1992879803
  Medicare reassignment NPD
• Deena Gail Golding, WMFT MT0000482

  • Counselor
  • Boca Raton, FL
  • NPI 1033274063
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1356630826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316312",
            "telephone_number": "561-395-3778",
            "fax_number": "561-395-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316312",
            "telephone_number": "561-395-3778",
            "fax_number": "561-395-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. MAVICA.D.O. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "MAVICA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-395-3778",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS0006380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romina Jordan
• Brenda Jorge
• Jose V Castellanos MD PLLC
• Robin Jose
• Joseph E Gillespie Inc (Gillespie & Associates)
• Joseph Rabinovitz Ed D PA
• Anita Elizabeth Joseph, PA-C
• Nuella Joseph, RN
• Roody Joseph, PT,DPT
• Sankara Joseph, PA-C

• Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.