Organization Active NPI

Primecare Psychiatric Associates

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1215715230
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRIMECARE PSYCHIATRIC ASSOCIATES
Practice address
6000 Turkey Lake Rd Ste 101B
Orlando, FL 32819-4205
Phone
(407) 353-6587
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mohammad Yousuf Bhaghani, MDNPI 1669567269
Title
Psychiatrist
Phone
(407) 353-6587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

6000 Turkey Lake Rd Ste 101B
Orlando, FL 32819-4205

Mailing address

6000 Turkey Lake Rd Ste 101B
Orlando, FL 32819-4205
Phone (407) 353-6587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231109002497 FL Part B Supplier - Clinic/Group Practice 1658728878 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

6000 Turkey Lake Rd
Ste 101B
Orlando, FL 32819
Phone (321) 251-3999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1215715230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 101B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194205",
            "telephone_number": "407-353-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD STE 101B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194205",
            "telephone_number": "407-353-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "BHAGHANI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "YOUSUF",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "407-353-6587",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.