DANIEL S MIRTENBAUM EDM, PSYD
NPI 1649799073
Psychologist - Clinical in Fort Lauderdale, FL

Q: What is Daniel Mirtenbaum's NPI number?

The NPI number for Daniel Mirtenbaum is 1649799073. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Q: What is Daniel Mirtenbaum'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 Daniel Mirtenbaum was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 18, 2017PECOS EnrolledAccepts Medicare Assignment

1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316(954) 885-9500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

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About Daniel S Mirtenbaum Edm, Psyd NPPES

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

DANIEL S MIRTENBAUM EDM, PSYD (NPI 1649799073) is an individual clinical provider in Fort Lauderdale, Florida, licensed in Florida (PY9965) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649799073

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDANIEL S MIRTENBAUMCredential: EDM, PSYD

Location Address1848 SE 1ST AVEFort Lauderdale, FL 33316-2875

Mailing Address1848 Se 1st AveFort Lauderdale, FL 33316-2875

Phone(954) 885-9500

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 18, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1649799073 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 · PY9965

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.

1848 SE 1ST AVE, Fort Lauderdale, FL 33316

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Other Identifiers 1

OtherPY9965FL · Fldoh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Cigna Healthcare and more.Insurance ›

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

Daniel S Mirtenbaum Edm, Psyd 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 ID7810253010

PECOS Enrollment IDI20171103000698

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 Reassignment

Medicare enrollment records show Daniel Mirtenbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Institute For Family Therapy Inc

16 mi

Clinical

6175 NW 153RD ST, SUITE 404
Miami Lakes, FL 33014

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

NPI 1407837743 (305) 558-7400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33316 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

$179.05 typical visit price

range $58.56 – $179.05

Typical copayment $44.76 (range $14.64 – $44.76)

Most-billed visit code 99205

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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.

CARL PHILIPPE PIERRE PAUL PSYD

Psychologist (Clinical)