Individual provider Active NPI

Anjali Anil Pathak, MD

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1558448928
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME62361 Issued in FL
Practice address
5251 Emerson St
Jacksonville, FL 32207-4932
Phone
(904) 399-0324
Fax
(904) 399-0420
NPI assigned
Nov 1, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME62361 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME62361 FL

Addresses

Primary practice location

5251 Emerson St
Jacksonville, FL 32207-4932

Mailing address

5251 Emerson St
Jacksonville, FL 32207-4932
Phone (904) 399-0324

Other practice location 1

4844 Deer Lake Dr W Ste 101
Jacksonville, FL 32246-4406
Phone (904) 376-3800

Other practice location 2

13241 Bartram Park Blvd Unit 1901
Jacksonville, FL 32258-5228
Phone (904) 376-3800

Other identifiers 1

IdentifierTypeStateIssuer
23073OtherFLBCBS PROVIDER ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000120 FL Practitioner - Psychiatry 5890757793 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME62361FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Feb 14, 2025 Accepting new patients
Baptist Behavioral Health, LLC CurrentSince Nov 9, 2020 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Feb 14, 2025 Accepting new patients
Southern Baptist Hospital Psychiatry Past Accepting new patients
Southern Baptist Hospital of Florida Inc PastSince Nov 9, 2020 Accepting new patients

Locations

13241 Bartram Park Blvd
Unit 1901
Jacksonville, FL 32258

4844 Deer Lake Dr W
Ste 101
Jacksonville, FL 32246

6817 Southpoint Pkwy
Ste 2402
Jacksonville, FL 32216
Phone (850) 893-8800

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

900 Beach Blvd
Ste 930
Jacksonville Beach, FL 32250

3650 NW Devane St
Lake City, FL 32055
Phone (386) 755-1221

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

5500 Bee Ridge Rd
Ste 202
Sarasota, FL 34233
Phone (941) 221-9199

Interoperability endpoints

  • Direct secure messaging: apathak28591@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1558448928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 EMERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074932",
            "telephone_number": "904-399-0324",
            "fax_number": "904-399-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 EMERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074932",
            "telephone_number": "904-399-0324",
            "fax_number": "904-399-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4844 Deer Lake Dr W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322464406",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13241 Bartram Park Blvd Unit 1901",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585228",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "ANJALI",
        "middle_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME62361",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME62361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "23073",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.