Abdol A Mirsajadi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME 40362 Issued in FL

Practice address

1275 S Patrick Dr
Suite C
Satellite Beach, FL 32937-3963

Phone

(321) 779-9838

Fax

(321) 779-4502

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Burnham Woods Champa and AssociatesGroup PAC ID 8325049596, 7 clinicians

Adult and Child Counseling and Psychiatric Center, P.aGroup PAC ID 0042403610, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Burnham Woods Champa & Associates

  • Addiction (Substance Use Disorder) Counselor
  • Cocoa, FL
  • NPI 1851354732
  Medicare reassignment Care Compare group NPD
• Adult & Child Counseling and Psychiatric Center, P.a.

  • Psychiatry Physician
  • Melbourne, FL
  • NPI 1629034996
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235196080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S PATRICK DR",
            "address_2": "SUITE C",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373963",
            "telephone_number": "321-779-9838",
            "fax_number": "321-779-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S PATRICK DR",
            "address_2": "SUITE C",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373963",
            "telephone_number": "321-779-9838",
            "fax_number": "321-779-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRSAJADI",
        "first_name": "ABDOL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 40362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15843",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina McKinley
• Amber Nicole Meade, PTA
• Robin Z Miller
• Mindful Monarch Counseling LLC
• Mindholisticllc
• Elaine L Muirhead, PHARM.D.
• Kristen S Murphy, ARNP
• Lauren Jordan Myers, LCSW
• Nash Therapy Inc
• New Beginnings Midwifery Inc

• Psychiatry Physician in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.