Active NPI
Anisha Gulati, MD
- Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
- License
- 131261
- Practice address
- 5995 SE Community Dr
Stuart, FL 34997-6425 - Phone
- (772) 403-4000
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 165149 | NC | |
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | 131261 | FL | Primary |
Addresses
Primary practice location
5995 SE Community Dr
Stuart, FL 34997-6425
Mailing address
45 Gleason St Apt 3
Delray Beach, FL 33483-6968
Phone (561) 985-3405
Other practice location 1
UNC Department of Psychiatry CB7160
Chapel Hill, NC 27599-7160
Phone (919) 966-4764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, TN, OR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Riverplace Blvd
Suite 800
Jacksonville, FL 32207-9032
Phone (833) 351-8255
1400 N Coit Rd
Talkiatry Suite 302
McKinney, TX 75071-6656
Phone (917) 634-5311
315 Deaderick St
Suite 1550
Nashville, TN 37238-3003
Phone (833) 351-8255
9620 NE Tanasbourne Dr
Suite 300
Hillsboro, OR 97124-7844
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131261 | FL | MD | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician |
| 165149 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Current | Accepting new patients |
Locations
1301 Riverplace Blvd
Jacksonville, FL 32207
1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643
315 Deaderick St
Ste 1550
Nashville, TN 37238
Phone (615) 554-3233
1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1811215205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 GLEASON ST APT 3",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334836968",
"telephone_number": "561-985-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5995 SE COMMUNITY DR",
"city": "STUART",
"state": "FL",
"postal_code": "349976425",
"telephone_number": "772-403-4000"
}
],
"practiceLocations": [
{
"address_1": "UNC Department of Psychiatry CB7160",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275997160",
"country_code": "US",
"telephone_number": "919-966-4764",
"fax_number": "919-966-9649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULATI",
"first_name": "ANISHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "165149",
"primary": false
},
{
"code": "2084D0003X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "FL",
"license": "131261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.