Active NPI
Family & Forensic Psychiatry
- Child & Adolescent Psychiatry Physician
- Gainesville, FL
National Provider Identifier
1144548611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME92893
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | ME92893 | FL | |
| Psychiatry Physician | 2084P0800X | ME92893 | FL | |
| Child & Adolescent Psychiatry Physician | 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 DirectoryNPI 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.