Organization Active NPI

Andres Cartaya, Psy.D., P.a.

  • Psychologist
  • Miami, FL
National Provider Identifier
1669966321
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6655 Issued in FL
Legal business name
ANDRES CARTAYA, PSY.D., P.A.
Practice address
10691 N Kendall Dr Ste 105
Miami, FL 33176-1596
Phone
(305) 669-6018
NPI assigned
Jun 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

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

Authorized official

Name
Dr. Andres Cartaya, PSY.D.NPI 1629026042
Title
President
Phone
(305) 299-1522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY6655 FL Primary

Addresses

Primary practice location

10691 N Kendall Dr Ste 105
Miami, FL 33176-1596

Mailing address

340 SW 87TH Path
Miami, FL 33174-3931
Phone (305) 299-1522

Other identifiers 1

IdentifierTypeStateIssuer
0085252000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190402002449 FL Part B Supplier - Clinic/Group Practice 5597006403 Receives reassigned benefits from 6 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529193600000",
    "number": "1669966321",
    "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": "305-299-1522"
        },
        {
            "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": "331761596",
            "telephone_number": "305-669-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES CARTAYA, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-17",
        "last_updated": "2018-06-17",
        "status": "A",
        "authorized_official_last_name": "CARTAYA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-299-1522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; 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.