Active NPI
Mitchell Alexander Laski, M.D.
- Psychiatry Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101265128
- Practice address
- Centralized Credential and Privileging Directorate
554 Keily Street
Jacksonville, FL 32212 - Phone
- (757) 953-7550
- NPI assigned
- Apr 11, 2017
- Last updated
- Apr 23, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101265128 | VA | Primary |
Addresses
Primary practice location
Centralized Credential and Privileging Directorate
554 Keily Street
Jacksonville, FL 32212
Mailing address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone (833) 351-8255
Other practice location 1
101 N Monroe St Ste 800
Tallahassee, FL 32301-1500
Phone (833) 351-8255
Other practice location 2
150 Riverside Pkwy Ste 115
Fredericksburg, VA 22406-1094
Phone (888) 351-8255
Other practice location 3
109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Nebraska College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 N Monroe St
Suite 800 Private Office 860
Tallahassee, FL 32301-1570
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| MCCD Psychiatry Services PLLC | Psychiatry | Past | Accepting new patients |
Locations
1301 Riverplace Blvd
Jacksonville, FL 32207
101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
150 Riverside Pkwy
Ste 115
Fredericksburg, VA 22406
Phone (540) 530-5546
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, 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": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1558894006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRALIZED CREDENTIAL AND PRIVILEGING DIRECTORATE",
"address_2": "554 KEILY STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32212",
"telephone_number": "757-953-7550"
}
],
"practiceLocations": [
{
"address_1": "101 N Monroe St Ste 800",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323011500",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Riverside Pkwy Ste 115",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224061094",
"country_code": "US",
"telephone_number": "888-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 W 27th St Rm 5S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100016208",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASKI",
"first_name": "MITCHELL",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-11",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101265128",
"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 Apr 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.