Active NPI
Punam Patel
- Psychiatry Physician
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME163945
- Practice address
- 1225 W 190TH St Ste 280
Gardena, CA 90248-4305 - Phone
- (877) 515-8113
- NPI assigned
- Apr 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | ME163945 | FL | Primary |
Addresses
Primary practice location
1225 W 190TH St Ste 280
Gardena, CA 90248-4305
Mailing address
15544 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (800) 457-4573
Other practice location 1
11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 223-2000 ext. 6720
Other practice location 2
3901 Rainbow Blvd # MS 4015
Kansas City, KS 66160-8500
Phone (913) 588-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113
130 S Indian River Dr
Suite 202
Fort Pierce, FL 34950-4353
Phone (310) 515-8113
3235 SW 34TH St
Ocala, FL 34474-7501
Phone (352) 431-3940
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- Quality
- 80.53
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony United Florida, LLC | Psychiatry | Current | Accepting new patients |
| Ehab Yacoub MD Inc. | Current | Accepting new patients | |
| Harmony United Pennsylvania PLLC | Psychiatry | Past | Accepting new patients |
| Savant Care Inc | Past | Accepting new patients |
Locations
1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
6203 San Ignacio Ave
Ste 110
San Jose, CA 95119
Phone (408) 638-9569
14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113
130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113
3235 SW 34th St
Ste 101
Ocala, FL 34474
3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100
15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340
Networks
- Freedom Health HMO Network
Interoperability endpoints
- punam.patel@harmonyhealthcare.medentdirect.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Gardena, CA
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FL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1023671260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15544 W COLONIAL DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347879556",
"telephone_number": "800-457-4573",
"fax_number": "800-443-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 W 190TH ST STE 280",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484305",
"telephone_number": "877-515-8113"
}
],
"practiceLocations": [
{
"address_1": "11750 Bird Rd",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331753530",
"country_code": "US",
"telephone_number": "305-223-2000 x6720",
"fax_number": "305-227-5556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3901 Rainbow Blvd # MS 4015",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608500",
"country_code": "US",
"telephone_number": "913-588-6400",
"fax_number": "913-588-6414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PUNAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-14",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME163945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.