Individual provider Active NPI

Anisha Gulati, MD

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Stuart, FL
National Provider Identifier
1811215205
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
License
131261 Issued in FL
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

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190304002714 FL Practitioner - Psychiatry 5698991487 Reassigns benefits to 2 organizations
I20230131000182 NY Practitioner - Psychiatry 5698991487 Reassigns benefits to 1 organization
I20240131003836 TN Practitioner - Psychiatry 5698991487 Reassigns benefits to 1 organization
I20240507003744 OR Practitioner - Psychiatry 5698991487 Reassigns benefits to 1 organization
I20240516001279 TX Practitioner - Psychiatry 5698991487 Reassigns benefits to 1 organization

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
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

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

LicenseStateTypeSpecialty
131261FLMDDiagnostic Neuroimaging (Psychiatry & Neurology) Physician
165149NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince Jul 5, 2022 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jan 1, 2023 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

Verify at the official NPI Registry.