MARIA XIMENA DUARTE PSYD, LMHC
NPI 1316282817
Psychologist - Clinical in Hialeah, FL
NPI Status: Active since December 10, 2012
Contact Information
5901 NW 183RD ST STE 310
HIALEAH, FL
ZIP 33015
Phone: (786) 418-9790
- Individual
- Female
- Psychologist
- Clinical
- Accepts Insurance
- PECOS Enrolled
About MARIA DUARTE
This page provides the complete NPI Profile along with additional information for Maria Duarte, a provider established in Hialeah, Florida with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1316282817 assigned on December 2012. The practitioner's primary taxonomy code is 103TC0700X with license number PY11259 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1316282817
- Provider Name
- MARIA XIMENA DUARTE PSYD, LMHC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5901 NW 183RD ST STE 310 HIALEAH, FL 33015
- Location Phone
- (786) 418-9790
- Mailing Address
- 490 NE 141ST ST NORTH MIAMI, FL 33161
- Mailing Phone
- (305) 878-4842
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-10-2012
- Last Update Date
- 09-09-2022
- Code Navigator
A clinical psychologist like Maria Duarte assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PY11259
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | MH16649 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Maria Duarte is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 30 minutes
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 63 times for 60 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
This service was performed 208 times for 82 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33015 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $187.05
- Minimum New Patient Price $60.92
- Maximum New Patient Price $187.05
- Average New Patient Copayment $46.76
- Minimum New Patient Copayment $15.23
- Maximum New Patient Copayment $46.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $107.17
- Minimum Established Patient Price $18.99
- Maximum Established Patient Price $150.24
- Average Established Patient Copayment $26.79
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.56
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MARIA XIMENA DUARTE PSYD, LMHC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 2 | 8 | 2 | 8 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 4 | 8 | 4 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 4 + 8 + 4 + 8 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1316282817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
YUDEYLIS LAU BS
Social Worker
5901 NW 183RD ST STE 310
HIALEAH, FL
ZIP 33015
OASIS MENTAL HEALTH CENTER LLC
Clinic/Center
(Mental Health (Including Community Mental Health Center))
5901 NW 183RD ST STE 310
HIALEAH, FL
ZIP 33015
MISS ALEJANDRA CONTRERAS LMHC
Counselor
(Mental Health)
5901 NW 183RD ST STE 310
HIALEAH, FL
ZIP 33015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316282817, enumerated as an "individual" on December 10, 2012.
The provider is located at 5901 NW 183RD ST STE 310 HIALEAH, FL 33015 and the phone number is (786) 418-9790.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Oscar Insurance Company of Florida. Please consult your insurance carrier or call the provider to verify.
