Active NPI
Gira Borad, MD
- Psychiatry Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME155661
- Practice address
- 1301 Riverplace Blvd Ste 800
Jacksonville, FL 32207-9032 - Phone
- (917) 634-5311
- NPI assigned
- Mar 22, 2016
- Last updated
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 320486 | NY | |
| Psychiatry Physician | 2084P0800X | 29569 | WV | |
| Psychiatry Physician | 2084P0800X | ME155661 | FL | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 29569 | WV |
Addresses
Primary practice location
1301 Riverplace Blvd Ste 800
Jacksonville, FL 32207-9032
Mailing address
109 W 27TH St Ste 5S
New York, NY 10001-6208
Phone (917) 634-5311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, FL, PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 N Monroe St
Suite 800 Private Office 860
Tallahassee, FL 32301-1570
Phone (833) 351-8255
232 Capitol St
Suite 10
Charleston, WV 25301-2234
Phone (833) 351-8255
2418 E York St
Talkiatry
Philadelphia, PA 19125-3006
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155661 | FL | MD | Psychiatry Physician |
| 320486 | NY | MD | Psychiatry Physician |
| 29569 | WV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
Locations
1301 Riverplace Blvd
Jacksonville, FL 32207
1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040
101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
1900 Market St
Ofc 6167
Philadelphia, PA 19103
2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
PA, WV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1326400284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST STE 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "917-634-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 RIVERPLACE BLVD STE 800",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322079032",
"telephone_number": "917-634-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORAD",
"first_name": "GIRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "320486",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "29569",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME155661",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "WV",
"license": "29569",
"primary": false
}
],
"identifiers": [],
"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 Jul 18, 2023; 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.