Individual provider Active NPI

Andres Cartaya, PSY.D.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1629026042
Registry record updated Jun 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6655 Issued in FL
Practice address
10691 N Kendall Dr Ste 105
Miami, FL 33176
Phone
(305) 669-6018
Fax
(306) 668-6016
NPI assigned
May 5, 2006
Last updated
Jun 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6655 FL Primary

Addresses

Primary practice location

10691 N Kendall Dr Ste 105
Miami, FL 33176

Mailing address

340 SW 87TH Path
Miami, FL 33174-3931
Phone (305) 222-1939

Other practice location 1

7800 SW 57th Ave
Suite 224
South Miami, FL 33143-5528
Phone (305) 668-6018

Other identifiers 1

IdentifierTypeStateIssuer
0085252000MedicaidFL

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000724 FL Practitioner - Clinical Psychologist 8921262718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andres Cartaya Psy.D., P.a.Group PAC ID 5597006403, 6 clinicians

Practice addresses (Care Compare)

10691 N Kendall Dr
Suite 105
Miami, FL 33176-1596
Phone (305) 699-6018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andres Cartaya, Psy.D., P.a. CurrentSince Dec 1, 2018 Accepting new patients

Locations

10691 SW 88th St
Ste 105
Miami, FL 33176
Phone (305) 668-6018

Organizations & group practices 1

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1629026042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SW 87TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743931",
            "telephone_number": "305-222-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 N KENDALL DR STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-669-6018",
            "fax_number": "306-668-6016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 SW 57th Ave",
            "address_2": "Suite 224",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435528",
            "country_code": "US",
            "telephone_number": "305-668-6018",
            "fax_number": "305-668-6016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTAYA",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085252000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.