Active NPI
Anjali Anil Pathak, MD
- Psychiatry Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME62361
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23073 | Other | FL | BCBS 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME62361 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Baptist Behavioral Health, LLC | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, P.C. | Current | Accepting new patients | |
| Southern Baptist Hospital | Psychiatry | Past | Accepting new patients |
| Southern Baptist Hospital of Florida Inc | Past | 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
- 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.
-
- Professional Counselor
- Jacksonville, FL
- NPI 1215906649
-
- Counseling Psychologist
- Sarasota, FL
- NPI 1033984448
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
-
dba Psychiatric and Psychological Care
- Counseling Psychologist
- Jacksonville Beach, FL
- NPI 1831390616
Psychiatry
-
dba Baptist Home Health Care
- Home Health Agency
- Jacksonville, FL
- NPI 1841351632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.