Organization Active NPI

Hiten Kisnad MD PA

  • Psychiatry Physician
  • Jacksonville Beach, FL
National Provider Identifier
1477500817
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0066482 Issued in FL
Legal business name
HITEN KISNAD MD PA
Practice address
320 1St St N
Ste 614
Jacksonville Beach, FL 32250-6944
Phone
(904) 270-2217
Fax
(904) 270-2232
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Hiten V Kisnad, M.D.NPI 1235189457
Title
President
Phone
(904) 270-2217

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0066482 FL Primary

Addresses

Primary practice location

320 1St St N
Ste 614
Jacksonville Beach, FL 32250-6944

Mailing address

320 1St St N
Suite 614
Jacksonville Beach, FL 32250-6944
Phone (904) 270-2217

Other names 1

  • Beaches Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

4237 Salisbury Rd
Ste 411
Jacksonville, FL 32216
Phone (904) 270-2217

320 1st St N
Ste 614
Jacksonville Beach, FL 32250
Phone (904) 270-2217

370 15th Ave S
Ste C
Jax Bch, FL 32250
Phone (904) 270-2217

Practitioners & affiliated clinicians

Practitioners 6

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1477500817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "address_2": "SUITE 614",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506944",
            "telephone_number": "904-270-2217",
            "fax_number": "904-270-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "address_2": "STE 614",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506944",
            "telephone_number": "904-270-2217",
            "fax_number": "904-270-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HITEN KISNAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "KISNAD",
        "authorized_official_first_name": "HITEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-270-2217",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0066482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaches Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.