DR. MIRIAM ANDRADE STAUB M.D. NPI 1043593569

NPI Information

  • NPI: 1043593569
  • Provider Name: DR. MIRIAM ANDRADE STAUB, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4164 BROCKTON AVE
    RIVERSIDE, CA
    ZIP 92501
  • Phone: (951) 683-5193

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NPI Details

DR. Miriam Andrade Staub, M.D. is a child and adolescent psychiatry psychiatry neurology in Riverside, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Miriam Andrade Staub, M.D. NPI is 1043593569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4164 BROCKTON AVE
RIVERSIDE, CA
ZIP 92501-400
Phone: (951) 683-5193

The NPI 1043593569 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 9/21/2011 and was last updated on 9/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME147285FLORIDANo
22084P0800XPsychiatry & NeurologyPsychiatryA53534CALIFORNIANo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA53534CALIFORNIAYes
42084P0800XPsychiatry & NeurologyPsychiatry0629230FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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