Individual provider Active NPI

Saira Saqib, MD

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1821757071
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME108320 Issued in FL
Practice address
6817 Southpoint Pkwy Ste 304
Jacksonville, FL 32216-6287
Phone
(904) 296-3113
Fax
(904) 296-3144
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0002X ME108320 FL
Psychiatry Physician 2084P0800X 200900365 NC
Psychiatry Physician 2084P0800X ME108320 FL Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 304
Jacksonville, FL 32216-6287

Mailing address

2220 County Road 210 W # 108-177
Jacksonville, FL 32259-4058

Other practice location 1

2220 County Road 210 W # 108-177
Jacksonville, FL 32259-4058
Phone (904) 296-3113

Other practice location 2

201 Health Park Blvd Ste 212
St Augustine, FL 32086-5797
Phone (904) 819-4040

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
I20151121000265 FL Practitioner - PsychiatryPractitioner - Neuropsychiatry 5698969343 Reassigns benefits to 1 organization
1 other NPI on this enrollment

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 304
Jacksonville, FL 32216-6287
Phone (904) 296-3113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200900365NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mypsychmd LLC Multi-Specialty CurrentSince Mar 31, 2022 Accepting new patients

Locations

6817 Southpoint Pkwy
Ste 304
Jacksonville, FL 32216
Phone (904) 296-3113

6817 Southpoint Pkwy
Ste 3
Jacksonville, FL 32216
Phone (904) 296-3113

2220 County Road 210 W
Saint Johns, FL 32259
Phone (904) 296-3113

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

201 Health Park Blvd
Ste 212
St Augustine, FL 32086
Phone (904) 819-4040

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1821757071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COUNTY ROAD 210 W # 108-177",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594058",
            "fax_number": "904-372-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166287",
            "telephone_number": "904-296-3113",
            "fax_number": "904-296-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 County Road 210 W # 108-177",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322594058",
            "country_code": "US",
            "telephone_number": "904-296-3113",
            "fax_number": "904-372-6175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Health Park Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865797",
            "country_code": "US",
            "telephone_number": "904-819-4040",
            "fax_number": "904-819-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "replacement_npi": "1821757071",
        "last_name": "SAQIB",
        "first_name": "SAIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "FL",
            "license": "ME108320",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200900365",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME108320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.