Active NPI
Chirag V Desai MD LLC
- Psychiatry Physician
- Jacksonville, FL
National Provider Identifier
1083073092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 103568
- Legal business name
- CHIRAG V DESAI MD LLC
- Practice address
- 9191 R G Skinner Pkwy
Jacksonville, FL 32256-9655 - Phone
- (904) 955-8434
- NPI assigned
- Feb 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chirag V Desai, MD
- Title
- Owner/Authorized Member
- Phone
- (904) 955-8434
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 103568 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME 103568 | FL |
Addresses
Primary practice location
9191 R G Skinner Pkwy
Jacksonville, FL 32256-9655
Mailing address
9838 Old Baymeadows Rd
Jacksonville, FL 32256-8101
National Provider Directory
National Provider DirectoryLocations
8823 San Jose Blvd
Ste 303
Jacksonville, FL 32217
Phone (904) 379-0802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464825600000",
"number": "1083073092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9838 OLD BAYMEADOWS RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322568101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 R G SKINNER PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569655",
"telephone_number": "904-955-8434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRAG V DESAI MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2016-06-02",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "CHIRAG",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER/AUTHORIZED MEMBER",
"authorized_official_telephone_number": "904-955-8434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 103568",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME 103568",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.