OrganizationActive
Fernando V. Mata , MD, PA
NPI 1609135128 · Psychiatry Physician · Ft Lauderdale, FL
Provider details
- NPI number
- 1609135128
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fernando Mata, President(954) 938-7011
- License
- ME0047345 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1930 Ne 47th St
Suite 309
Ft Lauderdale, FL 33308-7718
Phone: (954) 938-7011
Fax: (954) 938-9996
Street-level locationGet directions
Mailing address
1930 Ne 47th St
Ft Lauderdale, FL 33308-7718
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2012-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.