Individual provider Active NPI

John Daula, MD

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1225359789
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME161992 Issued in FL
Practice address
9980 Central Park Blvd N Ste 210
Boca Raton, FL 33428-1703
Phone
(561) 342-8822
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-16660 HI
Psychiatry Physician 2084P0800X ME161992 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N Ste 210
Boca Raton, FL 33428-1703

Mailing address

9980 Central Park Blvd N Ste 210
Boca Raton, FL 33428-1703

Other practice location 1

1060 Gaffney Rd
Bassett Army Community Hospital
Ft Wainwright, AK 99703-5002
Phone (907) 361-6059

Other practice location 2

Unit 15244
Apo, AP 96205-5244
Phone (315) 737-2027

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623003159 FL Practitioner - Psychiatry 4082072921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Boca Raton Psychiatry, LLCGroup PAC ID 0749547750, 27 clinicians

Practice addresses (Care Compare)

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

9980 N Central Park Blvd
Suite 210
Boca Raton, FL 33428-1703
Phone (561) 342-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME161992FLMDPsychiatry Physician
MD-16660HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Psychiatry, LLC Psychiatry CurrentSince Sep 1, 2023 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1225359789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-342-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Gaffney Rd",
            "address_2": "Bassett Army Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Ft Wainwright",
            "state": "AK",
            "postal_code": "997035002",
            "country_code": "US",
            "telephone_number": "907-361-6059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Unit 15244",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "962055244",
            "country_code": "US",
            "telephone_number": "315-737-2027",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "DAULA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-16660",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME161992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.