Active NPI
Wajiha Parveen Karatela, M.D.
- Child & Adolescent Psychiatry Physician
- Jacksonville, FL
National Provider Identifier
1558411371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME95621
- Practice address
- 5776 Saint Augustine Rd
Jacksonville, FL 32207-8030 - Phone
- (904) 448-4700
- Fax
- (904) 448-4717
- NPI assigned
- Jan 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME95621 | FL | Primary |
Addresses
Primary practice location
5776 Saint Augustine Rd
Jacksonville, FL 32207-8030
Mailing address
10150 Belle Rive Blvd Apt 902
Jacksonville, FL 32256-9586
Phone (904) 998-7512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME95621 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Hospital LLC | Past | Accepting new patients | |
| State of Missouri | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Richland, WA
- NPI 1548342181
-
- Psychiatric Hospital
- Saint Louis, MO
- NPI 1033289897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558411371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 BELLE RIVE BLVD APT 902",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569586",
"telephone_number": "904-998-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5776 SAINT AUGUSTINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078030",
"telephone_number": "904-448-4700",
"fax_number": "904-448-4717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARATELA",
"first_name": "WAJIHA",
"middle_name": "PARVEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME95621",
"primary": true
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.