Active NPI
Caitlin Meyer, MD
- Psychiatry Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- CLP03581
- Practice address
- 22790 SW 112TH Ave
Miami, FL 33170-7602 - Phone
- (305) 235-2616
- Fax
- (305) 235-6178
- NPI assigned
- May 23, 2016
- Last updated
- May 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | CLP03581 | RI | Primary |
Addresses
Primary practice location
22790 SW 112TH Ave
Miami, FL 33170-7602
Mailing address
22790 SW 112TH Ave
Miami, FL 33170-7602
Phone (305) 235-2616
Other practice location 1
345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Texas Southwestern Medical School at Dallas, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Glenlake Pkwy
Suite 130
Atlanta, GA 30328-3495
Phone (833) 351-8255
109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255
1301 Riverplace Blvd
Suite 800
Jacksonville, FL 32207-9032
Phone (833) 351-8255
15000 Weston Pkwy
Private Office 171
Cary, NC 27513-2118
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CLP03581 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Agape Network, Inc. | Current | Accepting new patients | |
| Agape Network, Inc. | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
Locations
1301 Riverplace Blvd
Jacksonville, FL 32207
1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040
22790 SW 112th Ave
Miami, FL 33170
Phone (305) 235-2616
22790 SW 112th Ave
Fl Jail
Miami, FL 33170
Phone (305) 235-2616
300 Colonial Center Pkwy
Ofc 12
Roswell, GA 30076
Phone (833) 351-1825
10 Glenlake Pkwy
Ste 130
Sandy Springs, GA 30328
Phone (678) 230-7095
15000 Weston Pkwy
Ofc 171
Cary, NC 27513
Phone (919) 925-3927
555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1932556776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22790 SW 112TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331707602",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22790 SW 112TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331707602",
"telephone_number": "305-235-2616",
"fax_number": "305-235-6178"
}
],
"practiceLocations": [
{
"address_1": "345 Blackstone Blvd",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064800",
"country_code": "US",
"telephone_number": "401-455-6375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "CAITLIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "CLP03581",
"primary": true
}
],
"identifiers": [],
"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 May 26, 2021; 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.