Individual provider Active NPI

Kishore J. Thampy, M.D.

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1659367951
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME105361 Issued in FL
Practice address
3599 University Blvd S Ste 1200
Jacksonville, FL 32216-4288
Phone
(833) 443-8700
Fax
(904) 642-9108
NPI assigned
Sep 22, 2005
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME105361 FL Primary

Addresses

Primary practice location

3599 University Blvd S Ste 1200
Jacksonville, FL 32216-4288

Mailing address

4446 Hendricks Ave Ste 134
Jacksonville, FL 32207-6369
Phone (904) 315-2242

Other practice location 1

5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100921000963 FL Practitioner - Psychiatry 0143268904 Reassigns benefits to 2 organizations
I20160919001614 GA Practitioner - Psychiatry 0143268904 Reassigns benefits to 4 organizations
I20210223000684 CA Practitioner - Psychiatry 0143268904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105361FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2023 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Jul 10, 2016 Accepting new patients
Medcura Health, Inc. CurrentSince Oct 25, 2022 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Sep 25, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2023 Accepting new patients
TBJ Behavioral Center LLC Psychiatry CurrentSince Oct 10, 2020 Accepting new patients
Kaweah Delta Health Care Inc CurrentSince Mar 1, 2021 Accepting new patients
Visalia Medical Clinic, Inc. Current Accepting new patients
Medcura Health, Inc. CurrentSince Oct 25, 2022 Accepting new patients
Guiding Light Healthcare Services Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Willow Oak Community Behavioral Health Center CurrentSince Apr 13, 2023 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Department of Behavioral Health & Developmental Disabilities CurrentSince Jul 10, 2016 Accepting new patients
Willow Oak Foundation, Inc. PastSince Aug 1, 2020 Accepting new patients
Family Medical & Surgical Practice, LLC Past Accepting new patients
Helping Hands Inspire Happy Hearts, LLC Past Accepting new patients

Locations

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

5530 Avenida de los Robles
Visalia, CA 93291
Phone (559) 733-5050

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

37 Calumet Pkwy
Ste J102
Newnan, GA 30263

6944 Highway 85
Ste F
Riverdale, GA 30274
Phone (770) 683-6946

1915 Eisenhower Dr
Savannah, GA 31406
Phone (912) 356-2011

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 298-7658

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

306 N Davis Dr
Ste C
Warner Robins, GA 31093
Phone (478) 225-9720

Interoperability endpoints

  • Direct secure messaging: kishorethampy@vmchealth.allscriptsdirect.net

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1659367951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 HENDRICKS AVE STE 134",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076369",
            "telephone_number": "904-315-2242",
            "fax_number": "904-212-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 1200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164288",
            "telephone_number": "833-443-8700",
            "fax_number": "904-642-9108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 W Hillsdale Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932918222",
            "country_code": "US",
            "telephone_number": "559-738-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAMPY",
        "first_name": "KISHORE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME105361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.