Organization Active NPI

Sun State Psychiatry PLLC

  • Psychiatry Physician
  • Fort Pierce, FL
National Provider Identifier
1306744198
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SUN STATE PSYCHIATRY PLLC
Practice address
2215 Nebraska Ave Ste 2-B
Fort Pierce, FL 34950-4866
Phone
(561) 232-5659
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
John Jacob Naliyath, MD
Title
Owner/Provider
Phone
(516) 232-5659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2215 Nebraska Ave Ste 2-B
Fort Pierce, FL 34950-4866

Mailing address

2215 Nebraska Ave Ste 2-B
Fort Pierce, FL 34950-4866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1306744198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE STE 2-B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE STE 2-B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504866",
            "telephone_number": "561-232-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN STATE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "NALIYATH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "516-232-5659",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.