DR. RAFAEL F SEMINARIO MD
NPI 1760511323
Psychiatry & Neurology - Psychiatry in West Palm Beach, FL
NPI Status: Active since March 02, 2007
Contact Information
2051 45TH ST
SUITE 210
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 848-2011
Fax: (561) 848-1431
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Opted-Out Medicare
About RAFAEL SEMINARIO
This page provides the complete NPI Profile along with additional information for Rafael Seminario, a provider established in West Palm Beach, Florida with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1760511323 assigned on March 2007. The practitioner's primary taxonomy code is 2084P0800X with license number ME0057801 (FL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1760511323
- Provider Name
- DR. RAFAEL F SEMINARIO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2051 45TH ST SUITE 210 WEST PALM BEACH, FL 33407
- Location Phone
- (561) 848-2011
- Location Fax
- (561) 848-1431
- Mailing Address
- 2051 45TH STREET SUITE 210 WEST PALM BEACH, FL 33407
- Mailing Phone
- (561) 848-2011
- Mailing Fax
- (561) 848-1431
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-02-2007
- Last Update Date
- 08-27-2010
- Code Navigator
A psychiatrist like Rafael Seminario are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Rafael Seminario opted out of Medicare effective on 10-01-2023 until 10-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0057801
- License State
- FL
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10810Y | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| A63639 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2023
Opt-Out End Date: 10-01-2027
Eligible to Order and Refer? 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.
Established patient office or other outpatient visit, 10-19 minutes
Psychotherapy with evaluation and management visit, 30 minutes
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 187 times for 37 patientsPsychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
This service was performed 191 times for 37 patientsReviews for DR. RAFAEL F SEMINARIO MD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1760511323, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
WEST PALM BEACH, FL 33407
WEST PALM BEACH, FL 33407
WEST PALM BEACH, FL 33407
WEST PALM BEACH, FL 33407
WEST PALM BEACH, FL 33407
WEST PALM BEACH, FL 33407
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760511323, enumerated as an "individual" on March 02, 2007.
The provider is located at 2051 45TH ST SUITE 210 WEST PALM BEACH, FL 33407 and the phone number is (561) 848-2011.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
