Individual provider Active NPI

Ambika Kataria, MD

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1114331568
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME149281 Issued in FL
Practice address
4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187
Phone
(347) 691-9246
Fax
(689) 219-8663
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 283514 NY
Psychiatry Physician 2084P0800X ME149281 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X 283514 NY

Addresses

Primary practice location

4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187

Mailing address

2660 Almondwood Loop
Orlando, FL 32821-2325
Phone (347) 691-9246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170510000283 NY Practitioner - Psychiatry 3971880402 Reassigns benefits to 1 organization
I20240409004896 FL Practitioner - Psychiatry 3971880402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

6718 Lake Nona Blvd
Lifestance Health
Orlando, FL 32827-7729
Phone (407) 476-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
283514NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Management Services Inc CurrentSince Feb 27, 2025 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince Mar 5, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Apr 5, 2017 Accepting new patients
Medlink Management Services Inc Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

575 SE 3rd Ave
Ste 2
Lake Butler, FL 32054
Phone (386) 496-1922

850 E Main St
Lake Butler, FL 32054
Phone (386) 496-1922

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

10967 Lake Underhill Rd
Ste 113
Orlando, FL 32825
Phone (407) 537-9451

6718 Lake Nona Blvd
Ste 250
Orlando, FL 32827
Phone (325) 483-3769

6718 Lake Nona Blvd
Orlando, FL 32827
Phone (407) 476-1222

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

7559 263rd St
Rm 132
Glen Oaks, NY 11004
Phone (718) 470-8023

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ambikakataria@141363.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1114331568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 ALMONDWOOD LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328212325",
            "telephone_number": "347-691-9246",
            "fax_number": "689-219-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SALISBURY RD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566187",
            "telephone_number": "347-691-9246",
            "fax_number": "689-219-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATARIA",
        "first_name": "AMBIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "283514",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME149281",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "283514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.