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MIRTA MATOS PSYD PA
NPI 1669460135
Psychologist - Clinical in Miami, FL

Active since October 10, 2005
8525 SW 92ND ST, #B-8, MIAMI, FL 33156(305) 596-9989(305) 598-0220 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mirta Matos Psyd Pa NPPES

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

MIRTA MATOS PSYD PA (NPI 1669460135) is a healthcare organization registered as a clinical in Miami, Florida and active in the NPI registry since October 2005. The organization lists Mirta Matos, Owner, as its authorized official.

NPPES Registry Identity

NPI1669460135
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMIRTA MATOS PSYD PA
Location Address8525 SW 92ND ST, #B-8Miami, FL 33156-7365
Mailing Address8525 Sw 92nd St, #b-8Miami, FL 33156-7365 · (305) 596-9989 · Fax (305) 598-0220
Phone(305) 596-9989
Fax(305) 598-0220
Organization SubpartNo
Authorized OfficialMirta MatosOwner · (305) 596-9989
Enumeration DateOctober 10, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669460135 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 · PY6454
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.
8525 SW 92ND ST, Miami, FL 33156
Open in Google Maps ↗

Other Identifiers 1

Other54791FL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirta Matos Psyd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mirta Matos Psyd PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mirta Matos, PSY.D11/03/
Clinical Psychologist
NPI 1912186040
13442 SW 144TH TER
Miami, FL 33186
(305) 596-9989
✔ PECOS✔ Accepts Medicare5.9 mi

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

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 Mirta Matos Psyd PA's NPI number?

The NPI number for Mirta Matos Psyd PA is 1669460135. It was assigned to this organization in the NPPES registry on October 10, 2005.

Where is Mirta Matos Psyd PA located?

Mirta Matos Psyd PA is located at 8525 SW 92nd St #b-8, Miami, FL 33156. The listed phone number is (305) 596-9989.

What is Mirta Matos Psyd PA's specialty?

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

Is Mirta Matos Psyd PA enrolled in Medicare?

Yes. Mirta Matos Psyd PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mirta Matos Psyd PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mirta Matos Psyd PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mirta Matos Psyd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.