Joesph Mark Mavica, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

050006380 Issued in FL

Practice address

2600 North Military Trail
Suite 215
Boca Raton, FL 33431

Phone

(561) 395-3778

Fax

(561) 395-5691

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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 and National Provider Directory roles.

• Joseph M. Mavica.D.O. PA

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1356630826
  Medicare reassignment NPD
• Roger M Newstreet LCSW Inc

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1629103924
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1992879803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18269 FRESH LAKE WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981950",
            "telephone_number": "561-395-3778",
            "fax_number": "561-395-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NORTH MILITARY TRAIL",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-395-3778",
            "fax_number": "561-395-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVICA",
        "first_name": "JOESPH",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "050006380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9125960",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH",
            "identifier": "1529773",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry I Matza, D.M.D.
• Amy Mau, SLP
• Tamara Lee Maule, O.D.
• Maurasole Boca, LLC
• Maureen T Connelly DPM PA
• Amy H Max, LCSW
• Terry G Max, D.D.S.
• Bea Katrina Abaya Maximo
• Maxx Health, Inc
• Shira D May

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.