JUSTIN D MISTERKA PSYD - NPI 1821574138 - Psychologist in Los Angeles, CA

Q: What is Justin Misterka's NPI number?

The NPI number for Justin Misterka is 1821574138. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Q: What is Justin Misterka'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 Justin Misterka was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

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About Justin D Misterka Psyd NPPES

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

JUSTIN D MISTERKA PSYD (NPI 1821574138) is an individual clinical provider in Los Angeles, California, licensed in California (PSY34848) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Philadelphia College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1821574138

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJUSTIN D MISTERKACredential: PSYD

Location Address444 S SAN VICENTE BLVD STE 103Los Angeles, CA 90048-4169

Mailing Address4140 W 190th StTorrance, CA 90504-5513

Phone(310) 423-9722

Fax(310) 248-8710

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2022

Enumeration DateJuly 19, 2018

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1821574138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY34848

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-18-54816 (PA)

444 S SAN VICENTE BLVD STE 103, Los Angeles, CA 90048

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Secondary Practice Locations 2

Location 1583 Shoemaker Rd Ste 230King Of Prussia, PA 19406-4201 · Phone (484) 681-2170

Location 28700 Beverly Blvd Ste 7409West Hollywood, CA 90048-1804 · Phone (310) 423-3933 · Fax (310) 248-8710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin D Misterka 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 ID547796021

PECOS Enrollment IDI20241206001997

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 6

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

YI MIAO PHD

Psychologist (Clinical)