Individual provider Active NPI

Ranjay Halder, MD

  • Child & Adolescent Psychiatry Physician
  • Bradenton, FL
National Provider Identifier
1679779573
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME106493 Issued in FL
Practice address
391 6TH Ave W
Bradenton, FL 34205-8820
Phone
(404) 668-9302
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME106493 FL
Psychiatry Physician 2084P0800X 30877 SC
Child & Adolescent Psychiatry Physician 2084P0804X 30877 SC
Child & Adolescent Psychiatry Physician 2084P0804X ME106493 FL Primary

Addresses

Primary practice location

391 6TH Ave W
Bradenton, FL 34205-8820

Mailing address

391 6TH Ave W
Bradenton, FL 34205-8820
Phone (404) 668-9302

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RANJAY.HALDER@hca4.eclinicaldirectplus.com

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
I20101019001031 FL Practitioner - Psychiatry 4688867971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health Sciences of West Florida LLC 3 clinicians

Practice addresses (Care Compare)

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (941) 342-4461

6001 Webb Rd
Tampa, FL 33615-3241
Phone (813) 888-7060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30877SCMDChild & Adolescent Psychiatry Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Behavioral Health Sciences of West Florida LLC Psychiatry CurrentSince Jul 29, 2019 Accepting new patients
Suncoast Community Health Centers, Inc CurrentSince Nov 1, 2021 Accepting new patients
Suncoast Community Health Centers Inc CurrentSince Nov 1, 2021 Accepting new patients
Centerstone of Florida, Inc. CurrentSince Jul 12, 2010 Accepting new patients
Impower, Inc Child & Adolescent Psychiatry Past Accepting new patients

Locations

2020 26th Ave E
Bradenton, FL 34208
Phone (941) 782-4600

391 6th Ave W
Bradenton, FL 34205
Phone (941) 782-4299

224 S Moon Ave
Brandon, FL 33511
Phone (813) 685-0500

313 S Lakewood Dr
Brandon, FL 33511
Phone (813) 349-7900

13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567

2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679779573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "404-668-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 6TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058820",
            "telephone_number": "404-668-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDER",
        "first_name": "RANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME106493",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "30877",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "30877",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME106493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RANJAY.HALDER@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "391 6th Ave W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342058820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.