Ivan Eduardo Cichowicz, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

ME115241 Issued in FL

Practice address

2201 NW Corporate Blvd
Suite 202
Boca Raton, FL 33431-7337

Phone

(561) 499-6932

Fax

(561) 235-5172

NPI assigned

May 7, 2007

Sex

Male

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University Central del Caribe Escuela de Medicina, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Behavioral Health PLLCGroup PAC ID 1052540135, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivancichowicz@147345.advancedmd-direct.com

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

• Mindful Behavioral Health PLLC

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1992133946
  Medicare reassignment Care Compare group NPD Authorized official
• Cognitiva Brain Health

  • Geriatric Psychiatry Physician
  • Boca Raton, FL
  • NPI 1114881026
  NPD Authorized official

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

• Medstar Home Health, LLC

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1538598081
  Care Compare affiliation

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1932312840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337",
            "telephone_number": "561-499-6932",
            "fax_number": "561-235-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337",
            "telephone_number": "561-499-6932",
            "fax_number": "561-235-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHOWICZ",
        "first_name": "IVAN",
        "middle_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME115241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Church Family Enterprises LLC
• Linda J. Chusid, RDN, CDN, LDN
• Rachel K Ciaccio, M.D.
• Elizabeth Marie Ciano, M.D.
• Cesare Ciavarro, DDS
• Florin Nicolae Cicortas, D.M.D.
• Bozena Ciesla
• Nicole Cifuentes Cruz, SA-C
• Janet Cimorelli
• Julianne Marie Cionfolo, CCC/SLP

• Geriatric Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.