DR. JOSEPH JAMES DAVERSA JR. MD
NPI 1649246455
Psychiatry & Neurology - Child & Adolescent Psychiatry in Miami, FL

Q: What is Joseph Daversa's NPI number?

The NPI number for Joseph Daversa is 1649246455. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Joseph Daversa's specialty?

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

Q: Is Joseph Daversa enrolled in Medicare?

No. Joseph Daversa has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Joseph Daversa was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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 February 23, 2006Opted out of Medicare · through Apr 1, 2028

12368 SW 82ND AVE, MIAMI, FL 33156(305) 253-4218(305) 233-5844 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Joseph James Daversa Jr. Md NPPES

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

DR. JOSEPH JAMES DAVERSA JR. MD (NPI 1649246455) is an individual child & adolescent psychiatry provider in Miami, Florida, licensed in Florida (ME 0014994) and active in the NPI registry since February 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649246455

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JOSEPH JAMES DAVERSA JR.Credential: MD

Location Address12368 SW 82ND AVEMiami, FL 33156-5223

Mailing Address12368 Sw 82nd AveMiami, FL 33156-5223 · (305) 253-4218 · Fax (305) 233-5844

Phone(305) 253-4218

Fax(305) 233-5844

Sole ProprietorYes

Enumeration DateFebruary 23, 2006

Last NPPES UpdateMarch 29, 2011

✔ NPI 1649246455 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

License✔ Licensed in FL · ME 0014994

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 ME 0014994 (FL)

12368 SW 82ND AVE, Miami, FL 33156

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Other Identifiers 3

Medicare UPIND86486FL

Medicaid049162400FL

Medicare PINEF832AFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joseph James Daversa Jr. Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

ANA MARIA LI-ROSI LMHC, NCC

Counselor (Mental Health)

12368 SW 82ND AVE
PINECREST, FL 33156

Miami-Dade County (305) 667-5595

ROSA MARIA SANCHEZ LMHC

Counselor (Mental Health)

12368 SW 82ND AVE
MIAMI, FL 33156

Miami-Dade County (305) 667-5595

JOSEPH J DAVERSA JR MD PA

Psychiatry & Neurology (Psychiatry)

12368 SW 82ND AVE
MIAMI, FL 33156

Miami-Dade County (305) 253-4218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Daversa's NPI number?

The NPI number for Joseph Daversa is 1649246455. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Joseph Daversa located?

Joseph Daversa practices at 12368 SW 82nd Ave, Miami, FL 33156. The listed phone number is (305) 253-4218.

What is Joseph Daversa's specialty?

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

Is Joseph Daversa enrolled in Medicare?

No. Joseph Daversa has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Joseph Daversa was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.