Individual provider Active NPI

Flavia Van Riel, MD

  • Psychiatry Physician
  • Miami Beach, FL
National Provider Identifier
1376544791
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 86943 Issued in FL
Practice address
975 Arthur Godfrey Rd
Suite 301
Miami Beach, FL 33140-3329
Phone
(305) 401-8899
Fax
(305) 721-1692
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 86943 FL Primary

Addresses

Primary practice location

975 Arthur Godfrey Rd
Suite 301
Miami Beach, FL 33140-3329

Mailing address

4315 Alton Rd
Miami Beach, FL 33140-2850
Phone (305) 401-8899

Other identifiers 1

IdentifierTypeStateIssuer
2275039200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 86943FLMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1376544791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402850",
            "telephone_number": "305-401-8899",
            "fax_number": "305-721-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 ARTHUR GODFREY RD",
            "address_2": "SUITE 301",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403329",
            "telephone_number": "305-401-8899",
            "fax_number": "305-721-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RIEL",
        "first_name": "FLAVIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 86943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2275039200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.