Individual provider Active NPI

Caitlin Meyer, MD

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1932556776
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
CLP03581 Issued in RI
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210929002730 FL Practitioner - Psychiatry 6103104047 Reassigns benefits to 2 organizations
I20240207000565 NY Practitioner - Psychiatry 6103104047 Reassigns benefits to 1 organization
I20240503000921 GA Practitioner - Psychiatry 6103104047 Reassigns benefits to 1 organization
I20251210000613 NC Practitioner - Psychiatry 6103104047 Reassigns benefits to 1 organization

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
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians

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

LicenseStateTypeSpecialty
CLP03581RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Dec 26, 2023 Accepting new patients
Agape Network, Inc. CurrentSince Jun 26, 2021 Accepting new patients
Agape Network, Inc. CurrentSince Jun 26, 2021 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Mar 30, 2024 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.

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

Verify at the official NPI Registry.