NPIMap

Organization Active NPI

Sivanta J Paul MD PA

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1083661383
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME56495 Issued in FL
Legal business name
SIVANTA J PAUL MD PA
Practice address
4237 Salisbury Rd
Ste 301
Jacksonville, FL 32216-8029
Phone
(904) 279-1666
Fax
(904) 279-1665
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sivanta J Paul, M.D.
Title
President
Phone
(904) 279-1666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME56495 FL Primary

Addresses

Primary practice location

4237 Salisbury Rd
Ste 301
Jacksonville, FL 32216-8029

Mailing address

PO Box 19949
Jacksonville, FL 32245-0949
Phone (904) 279-1666

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1083661383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19949",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322450949",
            "telephone_number": "904-279-1666",
            "fax_number": "904-279-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY RD",
            "address_2": "STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168029",
            "telephone_number": "904-279-1666",
            "fax_number": "904-279-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVANTA J PAUL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "SIVANTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-279-1666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME56495",
            "primary": true
        }
    ],
    "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 Mar 9, 2020; 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.