Active NPI
Manjit Vohra, MD
- Psychiatry Physician
- Winter Haven, FL
National Provider Identifier
1497866024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME131172
- Practice address
- 200 Avenue F NE
Winter Haven, FL 33881-4131 - Phone
- (727) 519-1839
- Fax
- (727) 519-1830
- NPI assigned
- Aug 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 249908 | NY | |
| Psychiatry Physician | 2084P0800X | 0101236052 | VA | |
| Psychiatry Physician | 2084P0800X | ME131172 | FL | Primary |
Addresses
Primary practice location
200 Avenue F NE
Winter Haven, FL 33881-4131
Mailing address
200 Avenue F NE
Winter Haven, FL 33881-4131
Phone (727) 519-1839
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010306639 | Medicaid | VA | |
| 03540136 | Medicaid | NY | |
| P00361881 | Other | VA | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249980 | NY | MD | Licensed Practical Nurse |
| 249908 | NY | MD | Psychiatry Physician |
| 0101236052 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| Center of Revitalizing Psychiatry, P.C. | Psychiatry | Current | Accepting new patients |
| Metropolitan Behavioral Services LLC | Current | Accepting new patients | |
| Highlands Community Services | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Center of Revitalizing Psychiatry PC | Past | Accepting new patients |
Locations
4500 Salisbury Rd
Ste 490
Jacksonville, FL 32216
Phone (904) 562-1391
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
2033 Wood St
Ste 220
Sarasota, FL 34237
Phone (941) 677-3366
610 Campus Dr
Abingdon, VA 24210
Phone (276) 525-1550
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1801261631
-
- Community/Behavioral Health Agency
- Abingdon, VA
- NPI 1396774147
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Psychiatry Physician
- Rochelle Park, NJ
- NPI 1356497960
-
- Adult Mental Health Clinic/Center
- Sarasota, FL
- NPI 1538572854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1497866024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 AVENUE F NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814131",
"telephone_number": "727-519-1839",
"fax_number": "727-519-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVENUE F NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814131",
"telephone_number": "727-519-1839",
"fax_number": "727-519-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOHRA",
"first_name": "MANJIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "249908",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101236052",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME131172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010306639",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03540136",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00361881",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.