Mirta N Matos, PSY.D11/03/

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6454 Issued in FL

Practice address

13442 SW 144TH Ter
Miami, FL 33186-7659

Phone

(305) 596-9989

Fax

(305) 380-9685

NPI assigned

Oct 25, 2007

Last updated

Jun 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Mirta Matos PSYD PA

  • Clinical Psychologist
  • Miami, FL
  • NPI 1669460135
  Medicare reassignment NPD Authorized official
• Mirta N. Matos Psy.D P.a.

  • Psychiatric Hospital
  • Doral, FL
  • NPI 1437338563
  NPD Authorized official
• Jose J Dergan P. a

  • Psychologist
  • Doral, FL
  • NPI 1063714178
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1912186040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13442 SW 144TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867659",
            "telephone_number": "305-596-9989",
            "fax_number": "305-380-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13442 SW 144TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867659",
            "telephone_number": "305-596-9989",
            "fax_number": "305-380-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "MIRTA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D11/03/",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Matos, ARNP
• Marta N Matos, PSY.D.
• Maydelin Matos
• Mayra Matos, L.C.S.W.
• Miriam Matos
• Moises Matos, MD
• Priscilla Marie Matos, APRN
• Ramona Susana Matos
• Tiffany Marie Matos
• Matrix Home Care LLC

• Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.