Pranav Milind Jagtap, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301502156 Issued in MI

Practice address

25899 W 12 Mile Rd Ste 320
Southfield, MI 48034-8325

Phone

(947) 209-5202

NPI assigned

Apr 8, 2016

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 9, 2020 through Dec 9, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paradigm Psychiatry TMS PLLC

  • Psychiatry Physician
  • Rochester Hills, MI
  • NPI 1447855093
  NPD Authorized official
• Pranavmjagtapmd PLLC

  dba Paradigm Psychiatry

  • Psychiatry Physician
  • Bloomfield Hills, MI
  • NPI 1861094047
  NPD Authorized official

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1114381894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD STE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348325",
            "telephone_number": "947-209-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD STE 320",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348325",
            "telephone_number": "947-209-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGTAP",
        "first_name": "PRANAV",
        "middle_name": "MILIND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301502156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timperince Jacobs
• John Jacquart, MA
• Samarth Jadav
• Haleigh Jaffe, LLMSW
• Karen Lynn Jaffe, MA. L.L.P.
• Arley Johan Jaimes Toscano
• Ashok B Jain, MD
• Julie Jain, PT
• Courtni Jakeway
• Kaylee Jakeway

• Psychiatry Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.