Individual provider Active NPI

Prasanti Tatini, MD

  • Psychiatry Physician
  • Tallahassee, FL
National Provider Identifier
1942403183
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME110502 Issued in FL
Practice address
1820 Miccosukee Commons Dr
Tallahassee, FL 32308-5432
Phone
(850) 765-8120
Fax
(850) 270-7733
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME110502 FL Primary

Addresses

Primary practice location

1820 Miccosukee Commons Dr
Tallahassee, FL 32308-5432

Mailing address

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111205000883 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5799950648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida First Psychiatry Specialist LLCGroup PAC ID 3072847011, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Family Medicine LLC Current Accepting new patients
Florida First Psychiatry Specialist LLC CurrentSince Apr 2, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Jeffrey Ferraro, LLC Psychiatry PastSince Sep 9, 2014 Accepting new patients

Locations

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

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1942403183",
    "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": "323085432",
            "telephone_number": "850-765-8120",
            "fax_number": "850-270-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINI",
        "first_name": "PRASANTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME110502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.