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Deactivated NPI 1801091327 Deactivated / Inactive NPI Male Practitioner

Dr. Benjamin F Isom , PsyD

Specialist • Miami, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Benjamin Isom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2007
NPI Deactivation Date April 10, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Isom, PsyD was a registered Specialist practicing in Miami, FL. Throughout an active medical career spanning 18 years, Dr. Isom provided care at the practice location at 111 NW 183RD ST until profile deactivation on 2025-04-10.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

111 Nw 183rd St
Suite 351

Miami, FL 331694537

Telephone 3056521081
Fax 3056523095
Associated Practice Facility / Clinic
🏢 Ajc Medical Staffing Llc Facility NPI 1801041397

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
253 Specialists

Practicing in Miami, FL (3036 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
154 11 $375.00 $154.79

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL PY3916

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1003832171

Registered Pharmacist

Brittney Walker

Counselor - Mental Health

NPI 1043041684
NPI 1174106157

Doctor of Medicine (M.D.)

Eve Coke , MS, NCC

Counselor - Mental Health

NPI 1700504305

Master of Science, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 111 NW 183RD ST, SUITE 351, MIAMI, FL 331694537 (Tel: 3056521081)

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Updated Business Mailing Address July 08, 2007

Registered at 111 NW 183RD ST, SUITE 351, MIAMI, FL 331694537 (Tel: 3056521081)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BENJAMIN ISOM, PSY.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #PY3916 in FL)

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Initial NPI Registration & Enumeration June 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801091327
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2007
Last Update: July 08, 2007
Deactivation Date: April 10, 2025

Mailing Address

111 Nw 183rd St, Suite 351

Miami, FL 331694537

Phone: 3056521081

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.