Organization Active NPI

Family & Forensic Psychiatry

  • Child & Adolescent Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1144548611
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME92893 Issued in FL
Legal business name
FAMILY & FORENSIC PSYCHIATRY
Practice address
4965 SW 91St Ter Ste a
Gainesville, FL 32608-8155
Phone
(352) 337-0551
Fax
(352) 374-2166
NPI assigned
May 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Susan Tran, M.D.
Title
President
Phone
(352) 337-0551

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X ME92893 FL
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME92893 FL
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X ME92893 FL Primary

Addresses

Primary practice location

4965 SW 91St Ter Ste a
Gainesville, FL 32608-8155

Mailing address

4965 SW 91St Ter Ste a
Gainesville, FL 32608-8155
Phone (352) 337-0551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1144548611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 SW 91ST TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088155",
            "telephone_number": "352-337-0551",
            "fax_number": "352-374-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 SW 91ST TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088155",
            "telephone_number": "352-337-0551",
            "fax_number": "352-374-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & FORENSIC PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-09",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-337-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "ME92893",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME92893",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME92893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.