DR. MIRIAM ANDRADE STAUB M.D.
NPI 1043593569
Psychiatry & Neurology - Child & Adolescent Psychiatry in Riverside, CA

Q: What is Miriam Staub's NPI number?

The NPI number for Miriam Staub is 1043593569. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Q: What is Miriam Staub's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Miriam Staub was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2011PECOS EnrolledAccepts Medicare Assignment

4164 BROCKTON AVE, RIVERSIDE, CA 92501(951) 683-5193 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Mar 23, 2021, Oct 20, 2020 (3 updates tracked since 2020).

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About Dr. Miriam Andrade Staub M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRIAM ANDRADE STAUB M.D. (NPI 1043593569) is an individual child & adolescent psychiatry provider in Riverside, California, licensed in California (A53534) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edgewater, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1043593569

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. MIRIAM ANDRADE STAUBCredential: M.D.

Location Address4164 BROCKTON AVERiverside, CA 92501-3400

Mailing Address4164 Brockton AveRiverside, CA 92501-3400 · (951) 683-5193

Phone(951) 683-5193

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateSeptember 21, 2011

Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1043593569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in CA · A53534✔ Licensed in FL · ME147285

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A53534 (CA), 0629230 (FL)

4164 BROCKTON AVE, Riverside, CA 92501

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Secondary Practice Location 1

Location 1239 N Ridgewood AveEdgewater, FL 32132-1734 · Phone (386) 672-5724

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Miriam Andrade Staub M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901226489

PECOS Enrollment IDI20201022000758

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Miriam Staub reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Santa Barbara County Alcohol, Drug, And Mental Health Services

136 mi

Adult Mental Health

315 W HALEY ST
Santa Barbara, CA 93101

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Santa Barbara County Auditor
100 clinicians in this Medicare group

NPI 1205961968 (805) 884-6850

Florida Health Care Plan, Inc

2,154 mi

Preferred Provider Organization

2450 MASON AVE
Daytona Beach, FL 32114

Reassigned Medicare billing, Florida enrollment
132 clinicians in this Medicare group

NPI 1558302042 (386) 615-4021

Mccd Psychiatry Services PLLC

2,408 mi

Psychiatry

109 W 27TH ST # 5S
New York, NY 10001

Reassigned Medicare billing, Florida enrollment
48 clinicians in this Medicare group

NPI 1033750823 (917) 634-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

38 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN CRUZ ROSANO JR.

Student in an Organized Health Care Education/Training Program