NPIMap

Organization Active NPI

Tri County Psychiatric Associates, P.a.

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1992853683
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0062377 Issued in FL
Legal business name
TRI COUNTY PSYCHIATRIC ASSOCIATES, P.A.
Practice address
101 E Miller St
Orlando, FL 32806-2123
Phone
(407) 246-6620
Fax
(407) 246-6621
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Mr. Aftab Qadir Sr., M.D.NPI 1972674349
Title
Psychiatrist
Phone
(407) 246-6620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X ME0062388 FL
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X ME0062377 FL Primary

Addresses

Primary practice location

101 E Miller St
Orlando, FL 32806-2123

Mailing address

101 E Miller St
Orlando, FL 32806-2123
Phone (407) 246-6620

Other identifiers 1

IdentifierTypeStateIssuer
004939700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429001401 FL Part B Supplier - Clinic/Group Practice 2668469602 Receives reassigned benefits from 12 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

10000 W Colonial Dr
#394
Ocoee, FL 34761
Phone (407) 296-1000

2869 Wilshire Dr
Orlando, FL 32835
Phone (407) 578-6200

Practitioners & affiliated clinicians

Practitioners 12

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1992853683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062123",
            "telephone_number": "407-246-6620",
            "fax_number": "407-246-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062123",
            "telephone_number": "407-246-6620",
            "fax_number": "407-246-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY PSYCHIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "QADIR",
        "authorized_official_first_name": "AFTAB",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "407-246-6620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0062388",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0062377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004939700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.