Individual provider Active NPI

Gezel Saheli, MD

  • Psychiatry Physician
  • Indian Harbour Beach, FL
National Provider Identifier
1821527847
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME145285 Issued in FL
Practice address
2194 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-4931
Phone
(833) 867-2329
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME148624 FL
Internal Medicine Physician 207R00000X 66335 AZ
Internal Medicine Physician 207R00000X A243847 CA
Psychiatry Physician 2084P0800X 25MA10653100 NJ
Psychiatry Physician 2084P0800X 0101269168 VA
Psychiatry Physician 2084P0800X D89464 MD
Psychiatry Physician 2084P0800X MD469099 PA
Psychiatry Physician 2084P0800X FS3207619 FL
Psychiatry Physician 2084P0800X 20510 NH
Psychiatry Physician 2084P0800X 304074 NY
Psychiatry Physician 2084P0800X ME145285 FL Primary

Addresses

Primary practice location

2194 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-4931

Mailing address

2194 A1A Hwy Ste 203
Indian Harbour Beach, FL 32937-4931
Phone (310) 666-8516

Other identifiers 2

IdentifierTypeStateIssuer
2662152OtherCAPHYSICIAN LICENSE TYPE A
1720764020OtherNPI

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
I20250304003417 FL Practitioner - Psychiatry 0749690972

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66335AZMDInternal Medicine Physician
A243847CAMDInternal Medicine Physician
D89464MDMDPsychiatry Physician
20510NHMDPsychiatry Physician
MD469099PAMDPsychiatry Physician
0101269168VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantis Integrative Medicine and Psychiatry Wellness Center PLLC Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Gezel Saheli MD.Inc PastSince Sep 1, 2020 Accepting new patients
Zen Psychiatry LLC Multi-Specialty Past Accepting new patients

Locations

2194 Highway A1A
Indian Harbour Beach, FL 32937
Phone (321) 427-1765

2194 Highway A1A
Ste 203
Indian Harbour Beach, FL 32937
Phone (321) 777-8930

Organizations & group practices 3

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1821527847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 A1A HWY STE 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374931",
            "telephone_number": "310-666-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A STE 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374931",
            "telephone_number": "833-867-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHELI",
        "first_name": "GEZEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME148624",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "66335",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A243847",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10653100",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101269168",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D89464",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD469099",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "FS3207619",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "20510",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "304074",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME145285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE TYPE A",
            "identifier": "2662152",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720764020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

Verify at the official NPI Registry.