Active NPI
Maliha Mahmood Desmukh, M.D
- Psychiatry Physician
- Boca Raton, FL
National Provider Identifier
1821440314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME156482
- Practice address
- 7000 W Palmetto Park Rd Ste 407
Boca Raton, FL 33433-3425 - Phone
- (954) 227-2700
- Fax
- (954) 227-2704
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 303682 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | ME156482 | FL | Primary |
Addresses
Primary practice location
7000 W Palmetto Park Rd Ste 407
Boca Raton, FL 33433-3425
Mailing address
7000 W Palmetto Park Rd Ste 407
Boca Raton, FL 33433-3425
Phone (954) 227-2700
Other practice location 1
1276 Fulton Ave
5th fl South
Bronx, NY 10456-3402
Phone (347) 598-4096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME156482 | FL | MD | Psychiatry Physician |
| 303682 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Network | Current | Accepting new patients |
Locations
2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402
2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1104856004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1821440314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD STE 407",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333425",
"telephone_number": "954-227-2700",
"fax_number": "954-227-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD STE 407",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333425",
"telephone_number": "954-227-2700",
"fax_number": "954-227-2704"
}
],
"practiceLocations": [
{
"address_1": "1276 Fulton Ave",
"address_2": "5th fl South",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104563402",
"country_code": "US",
"telephone_number": "347-598-4096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESMUKH",
"first_name": "MALIHA",
"middle_name": "MAHMOOD",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "303682",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME156482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.