Psychiatric Associates of Lake City PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0027561 Issued in FL

Legal business name

PSYCHIATRIC ASSOCIATES OF LAKE CITY PA

Doing business as

Umesh M Mhatre MD

Practice address

165 SW Vision Glenn
Lake City, FL 32025-1111

Phone

(386) 755-1800

Fax

(386) 758-8770

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shilpa U. Mhatre

Title

Office Manager

Phone

(386) 755-1800

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• UMESH M MHATRE MD Doing business as

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1962552752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SW VISION GLENN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251111",
            "telephone_number": "386-755-1800",
            "fax_number": "386-758-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SW VISION GLENN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251111",
            "telephone_number": "386-755-1800",
            "fax_number": "386-758-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF LAKE CITY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "MHATRE",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-755-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0027561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "264574342",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA  LICENSE",
            "identifier": "ME 0027561",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FL",
            "identifier": "01251",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037553500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "083097",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "406263894",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMESH M MHATRE MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.