Active NPI
Suhas Vishnu Joshi, M.D.
- Psychiatry Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME73086
- Practice address
- 1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570 - Phone
- (904) 264-6977
- Fax
- (904) 269-0870
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME73086 | FL | Primary |
Addresses
Primary practice location
1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570
Mailing address
1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570
Phone (904) 264-6977
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME73086 | Other | FL | STATE LICENSE |
| 100120400 | Medicaid | FL | |
| 41996U | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1543 Kingsley Ave
Suite 14
Orange Park, FL 32073-4570
Phone (904) 264-6977
6300 Beach Blvd
Jacksonville, FL 32216-2708
Phone (904) 724-9202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73086 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Psychiatric Services, P.a. | Psychiatry | Current | Accepting new patients |
| TBJ Behavioral Center LLC | Psychiatry | Current | Accepting new patients |
| Mental Health Center of Jacksonville, Inc. | Past | Accepting new patients | |
| Memorial Family Practice Associates, LLC | Past | Accepting new patients |
Locations
6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202
1543 Kingsley Ave
Ste 14
Orange Park, FL 32073
Phone (904) 264-6977
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.
-
- Psychiatry Physician
- Orange Park, FL
- NPI 1104222801
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1598869844
-
- Community Health Clinic/Center
- Jacksonville, FL
- NPI 1366558132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194747485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 KINGSLEY AVE STE 14",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734570",
"telephone_number": "904-264-6977",
"fax_number": "904-269-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 KINGSLEY AVE STE 14",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734570",
"telephone_number": "904-264-6977",
"fax_number": "904-269-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSHI",
"first_name": "SUHAS",
"middle_name": "VISHNU",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2023-03-07",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME73086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME73086",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100120400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "41996U",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.