Individual provider Active NPI

Veronica R Motiram, MD

  • Psychiatry Physician
  • Boynton Beach, FL
National Provider Identifier
1619956992
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0050419 Issued in FL
Practice address
2240W Woolbright Rd 405
Boynton Beach, FL 33426-6367
Phone
(561) 364-0945
Fax
(561) 364-1492
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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 ME0050419 FL Primary

Addresses

Primary practice location

2240W Woolbright Rd 405
Boynton Beach, FL 33426-6367

Mailing address

2240W Woolbright Rd 405
Boynton Beach, FL 33426-6367
Phone (561) 364-0945

Other identifiers 1

IdentifierTypeStateIssuer
07612OtherFLBCBS PROVIDER #

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
I20120821000229 FL Practitioner - Psychiatry 6002063468 Practice locations: Boynton Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1609 S Congress Ave
Boynton Beach, FL 33426-6543

2240 W Woolbright Rd
Suite 405
Boyton Beach, FL 33426-6332

2240 W Woolbright Rd
Suite 405
Boynton Beach, FL 33426-6367
Phone (561) 364-0945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050419FLMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1619956992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240W WOOLBRIGHT RD 405",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266367",
            "telephone_number": "561-364-0945",
            "fax_number": "561-364-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240W WOOLBRIGHT RD 405",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266367",
            "telephone_number": "561-364-0945",
            "fax_number": "561-364-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTIRAM",
        "first_name": "VERONICA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0050419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "07612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.