Gulf Coast Family Psychiatry Professional Association

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME102409 Issued in FL

Legal business name

GULF COAST FAMILY PSYCHIATRY PROFESSIONAL ASSOCIATION

Practice address

960 W 41St St
Suite 106
Miami, FL 33140-3326

Phone

(305) 434-2148

Fax

(786) 292-0091

NPI assigned

Mar 27, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Safir Azam, MDNPI 1457503302

Title

Ceo

Phone

(305) 434-2148

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Safir Azam, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1457503302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1851634901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W 41ST ST",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331403326",
            "telephone_number": "305-434-2148",
            "fax_number": "786-292-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W 41ST ST",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331403326",
            "telephone_number": "305-434-2148",
            "fax_number": "786-292-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST FAMILY PSYCHIATRY PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "SAFIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-434-2148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME102409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0049G",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayura Prakash Gujarathi, M.D.
• Sagar Gulati, MD
• Sanjeev Gulati, MD
• Vinita Gulati
• Kristine Jane Guleserian, MD
• Gulf Coast Jewish Family and Community Services, Inc.
• Gulfstream Healthcare Partners LLC
• Sakir Humayun Gultekin, MD
• Marie Guma
• Hannah Gumaer

• Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.