Javier M Prado, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME82500 Issued in FL

Practice address

725 N US Highway 1
Fort Pierce, FL 34950-9125

Phone

(772) 252-4014

Fax

(772) 999-5577

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: javier.prado.1@14627.direct.athenahealth.com

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.

• Whole Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Pierce, FL
  • NPI 1578612883
  Medicare reassignment NPD
• Whole Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
  • NPI 1265319271
  NPD
• Family Preservation Services

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1972808871
  NPD (past)
• Whole Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
  • NPI 1437910080
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1922148253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 18TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606481",
            "telephone_number": "772-925-8200",
            "fax_number": "772-925-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349509125",
            "telephone_number": "772-252-4014",
            "fax_number": "772-999-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 37th Pl",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606541",
            "country_code": "US",
            "telephone_number": "772-492-3427",
            "fax_number": "772-999-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3723 10th Ct",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606559",
            "country_code": "US",
            "telephone_number": "772-492-3427",
            "fax_number": "772-925-8194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADO",
        "first_name": "JAVIER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME82500",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME82500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262196700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Moments Health Services LLC
• Elizabeth King Post, LCSW
• Power of Parenting, Inc.
• Bethany Powers, M.S.
• Jessica Prado Esquivel
• Oma Vanessa Prag
• Pramod Joseph Hospital Practice LLC
• Pramod Joseph MD LLC
• Prasad Korlipara. M.D.
• Tummala R Prasad, MD

• Child & Adolescent Psychiatry Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.