Organization Active NPI

Nita S Desai

  • Psychiatry Physician
  • Memphis, TN
National Provider Identifier
1861112930
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NITA S DESAI
Doing business as
Nita S Desai Behavioral Health
Practice address
3000 Getwell Rd
Memphis, TN 38118-2205
Phone
(901) 877-7897
Fax
(901) 877-7991
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Dorothy M Moore
Title
Ar Manager
Phone
(901) 877-7897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3000 Getwell Rd
Memphis, TN 38118-2205

Mailing address

PO Box 17171
Memphis, TN 38187-0171
Phone (901) 877-7897

Other practice location 1

2911 Brunswick Rd
Bartlett, TN 38133-4105
Phone (901) 377-4700

Other names 1

  • Nita S Desai Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928003102 TN Part B Supplier - Clinic/Group Practice 0547646564 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlett, TN; Memphis, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1861112930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17171",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870171",
            "telephone_number": "901-877-7897",
            "fax_number": "901-877-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182205",
            "telephone_number": "901-877-7897",
            "fax_number": "901-877-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Brunswick Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334105",
            "country_code": "US",
            "telephone_number": "901-377-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NITA S DESAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "901-877-7897"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nita S Desai Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.