| Mindtrain Psychiatry And Consulting Pllc | |
|
13800 Tech City Cir Ste 322 Alachua FL 32615-7254 | |
| (386) 853-4835 | |
| (727) 866-4393 |
| Full Name | Mindtrain Psychiatry And Consulting Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13800 Tech City Cir Ste 322, Alachua, Florida |
| Authorized Official Name and Position | Kishan Nallapula (OWNER) |
| Authorized Official Contact | 3868534835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindtrain Psychiatry And Consulting Pllc 15113 Nw 149th Rd Alachua FL 32615-0253 Ph: (352) 286-1490 | Mindtrain Psychiatry And Consulting Pllc 13800 Tech City Cir Ste 322 Alachua FL 32615-7254 Ph: (386) 853-4835 |
| NPI Number | 1225880677 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Medicare PECOS PAC ID | 0840734216 |
|---|---|
| Medicare Enrollment ID | O20240627000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225880677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kishan Nallapula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265710586 PECOS PAC ID: 3678708773 Enrollment ID: I20160913002913 |
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