Active NPI
Mindtrain Psychiatry and Consulting PLLC
- Child & Adolescent Psychiatry Physician
- Alachua, FL
National Provider Identifier
1225880677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kishan Nallapula, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240627000793 | FL | Part B Supplier - Clinic/Group Practice | 0840734216 |
Receives reassigned benefits from 1 practitioner Practice locations: Alachua, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Alachua, FL
- NPI 1265710586
Child & Adolescent Psychiatry, FL
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.