Organization Active NPI

Chirag V Desai MD LLC

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1083073092
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 103568 Issued in FL
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

Updated by the provider on Jun 2, 2016

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X ME 103568 FL Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.