NPIMap

Organization Active NPI

Florida First Psychiatry Specialist LLC

  • Geriatric Psychiatry Physician
  • Tallahassee, FL
National Provider Identifier
1841754959
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
FLORIDA FIRST PSYCHIATRY SPECIALIST LLC
Practice address
1820 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone
(850) 765-8120
Fax
(850) 270-7733
NPI assigned
Jan 23, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Dr. Prasanti Tatini, MDNPI 1942403183
Title
Medical Doctor
Phone
(850) 205-0189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X NU Primary

Addresses

Primary practice location

1820 Miccosukee Commons Dr
Tallahassee, FL 32308

Mailing address

1820 Miccosukee Commons Dr
Tallahassee, FL 32308-5432
Phone (850) 765-8120

Other practice location 1

2606 Centennial Pl
Tallahassee, FL 32308-0572
Phone (850) 205-0189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190626000332 FL Part B Supplier - Clinic/Group Practice 3072847011 Receives reassigned benefits from 3 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

1820 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone (850) 765-8120

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1841754959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MICCOSUKEE COMMONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085432",
            "telephone_number": "850-765-8120",
            "fax_number": "850-270-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MICCOSUKEE COMMONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-765-8120",
            "fax_number": "850-270-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Centennial Pl",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323080572",
            "country_code": "US",
            "telephone_number": "850-205-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA FIRST PSYCHIATRY SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "TATINI",
        "authorized_official_first_name": "PRASANTI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "850-205-0189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.