Organization Active NPI

Bay Hill Psychiatric Associates LLC

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1568627701
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BAY HILL PSYCHIATRIC ASSOCIATES LLC
Practice address
2869 Wilshire Dr Ste 203
Orlando, FL 32835-3282
Phone
(407) 903-9696
Fax
(407) 903-9698
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Dr. Syeda N Sultana, M.D.NPI 1164553467
Title
Ceo
Phone
(407) 903-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2869 Wilshire Dr Ste 203
Orlando, FL 32835-3282

Mailing address

2869 Wilshire Dr Ste 203
Orlando, FL 32835-3282
Phone (407) 903-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000016 FL Part B Supplier - Clinic/Group Practice 5496924847 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

2869 Wilshire Dr
Ste 203
Orlando, FL 32835
Phone (407) 903-9696

6068 S Apopka Vineland Rd
Ste 3
Orlando, FL 32819
Phone (407) 903-9696

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1568627701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 WILSHIRE DR STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353282",
            "telephone_number": "407-903-9696",
            "fax_number": "407-903-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 WILSHIRE DR STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353282",
            "telephone_number": "407-903-9696",
            "fax_number": "407-903-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HILL PSYCHIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "SULTANA",
        "authorized_official_first_name": "SYEDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-903-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.