Individual provider Active NPI

Radha Ravindra Nejak, LMFT

  • Marriage & Family Therapist
  • St Petersburg, FL
National Provider Identifier
1932748118
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3751 Issued in FL
Practice address
735 Arlington Ave N Ste 210
St Petersburg, FL 33701-3653
Phone
(727) 489-4888
NPI assigned
Jan 5, 2020
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3751 FL Primary

Addresses

Primary practice location

735 Arlington Ave N Ste 210
St Petersburg, FL 33701-3653

Mailing address

7362 Sawgrass Point Dr N
Pinellas Park, FL 33782-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT3751FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1932748118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 SAWGRASS POINT DR N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 ARLINGTON AVE N STE 210",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013653",
            "telephone_number": "727-489-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAK",
        "first_name": "RADHA",
        "middle_name": "RAVINDRA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-05",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.