DR. RAFAEL JESSE BOTTA JR. PSY.D.
NPI 1235387440
Psychologist - Clinical in Miami, FL

Q: What is Rafael Botta's NPI number?

The NPI number for Rafael Botta is 1235387440. It was assigned to this individual provider in the NPPES registry on August 29, 2008.

Q: What is Rafael Botta's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Botta was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2008PECOS EnrolledAccepts Medicare Assignment

9350 SUNSET DR STE 151, MIAMI, FL 33173(786) 548-1022 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Rafael Jesse Botta Jr. Psy.d. NPPES

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

DR. RAFAEL JESSE BOTTA JR. PSY.D. (NPI 1235387440) is an individual clinical provider in Miami, Florida, licensed in Florida (PY7746) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pembroke Pines, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1235387440

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RAFAEL JESSE BOTTA JR.Credential: PSY.D.

Location Address9350 SUNSET DR STE 151Miami, FL 33173-3286

Mailing Address17900 Nw 5th St, Suite 201Pembroke Pines, FL 33029-2808 · (954) 494-6813

Phone(786) 548-1022

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 29, 2008

Last NPPES UpdateDecember 29, 2023

NPPES CertifiedDecember 29, 2023

✔ NPI 1235387440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY7746

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9350 SUNSET DR STE 151, Miami, FL 33173

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Secondary Practice Location 1

Location 117900 NW 5th St, Suite 201Pembroke Pines, FL 33029-2808 · Phone (954) 494-6813

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Jesse Botta Jr. Psy.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 ID4587881321

PECOS Enrollment IDI20140819000576

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MIRIAM RODRIGUEZ LCSW

Social Worker (Clinical)