Organization Active NPI

Mindtrain Psychiatry and Consulting PLLC

  • Child & Adolescent Psychiatry Physician
  • Alachua, FL
National Provider Identifier
1225880677
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
MINDTRAIN PSYCHIATRY AND CONSULTING PLLC
Practice address
13800 Tech City Cir Ste 322
Alachua, FL 32615-7254
Phone
(386) 853-4835
Fax
(727) 866-4393
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Dr. Kishan Nallapula, MDNPI 1265710586
Title
Owner
Phone
(386) 853-4835

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
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

13800 Tech City Cir Ste 322
Alachua, FL 32615-7254

Mailing address

15113 NW 149TH Rd
Alachua, FL 32615-0253
Phone (352) 286-1490

Other practice location 1

15113 NW 149th Rd
Alachua, FL 32615-0253
Phone (352) 286-1490

Other names 1

  • Gainesville Psychiatry, TMS and psychedelics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627000793 FL Part B Supplier - Clinic/Group Practice 0840734216 Receives reassigned benefits from 1 practitioner
Practice locations: Alachua, FL

National Provider Directory

National Provider Directory

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": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1225880677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15113 NW 149TH RD",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326150253",
            "telephone_number": "352-286-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 TECH CITY CIR STE 322",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326157254",
            "telephone_number": "386-853-4835",
            "fax_number": "727-866-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15113 NW 149th Rd",
            "address_purpose": "LOCATION",
            "city": "Alachua",
            "state": "FL",
            "postal_code": "326150253",
            "country_code": "US",
            "telephone_number": "352-286-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDTRAIN PSYCHIATRY AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "NALLAPULA",
        "authorized_official_first_name": "KISHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-853-4835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gainesville Psychiatry, TMS and psychedelics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alachua, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.