Organization Active NPI

Prisat PA

  • Psychiatric/Mental Health Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1275678799
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN2580702 Issued in FL
Legal business name
PRISAT PA
Practice address
3685 Crown Point Court
Suite 3
Jacksonville, FL 32257-5967
Phone
(904) 880-8840
Fax
(904) 880-1994
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Satyen P. Madkaiker, M.D.NPI 1588629232
Title
Psychiatrist, President
Phone
(904) 880-8840

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH9023 FL
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X RN9254064 FL
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X ARNP2101032 FL
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X RN2580702 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME83139 FL

Addresses

Primary practice location

3685 Crown Point Court
Suite 3
Jacksonville, FL 32257-5967

Mailing address

PO Box 24330
Jacksonville, FL 32241-4330
Phone (904) 880-8840

Other identifiers 5

IdentifierTypeStateIssuer
1588629232OtherFLNPI - MADKAIKER
282634OtherFLMAGELLAN IP - MADKAIKER
1134234669OtherFLNPI - SICKINGER
1306867817OtherFLNPI - FORKER
BCBSOtherFL06183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050602000279 FL Part B Supplier - Clinic/Group Practice 0345283271 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1096478Prisat PA3685 Crown Point Court, Jacksonville, FL 32257Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Locations

3685 Crown Point Ct
#3
Jacksonville, FL 32257

3685 Crown Point Ct
Jacksonville, FL 32257
Phone (904) 292-4129

3685 Crown Point Ct
Ste 3
Jacksonville, FL 32257
Phone (904) 880-8840

Practitioners & affiliated clinicians

Practitioners 3

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275678799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24330",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322414330",
            "telephone_number": "904-880-8840",
            "fax_number": "904-880-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 CROWN POINT COURT",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575967",
            "telephone_number": "904-880-8840",
            "fax_number": "904-880-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISAT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MADKAIKER",
        "authorized_official_first_name": "SATYEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PSYCHIATRIST, PRESIDENT",
        "authorized_official_telephone_number": "904-880-8840",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9023",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "RN9254064",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2101032",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN2580702",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME83139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - MADKAIKER",
            "identifier": "1588629232",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN IP - MADKAIKER",
            "identifier": "282634",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - SICKINGER",
            "identifier": "1134234669",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - FORKER",
            "identifier": "1306867817",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "06183",
            "identifier": "BCBS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.