Individual provider Active NPI

Maliha Mahmood Desmukh, M.D

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1821440314
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME156482 Issued in FL
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

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156482FLMDPsychiatry Physician
303682NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.