| Vijapura Behavioral Health Pllc | |
|
9141 Cypress Green Dr Suite 1 Jacksonville FL 32256-2013 | |
| (904) 733-7333 | |
| Not Available |
| Full Name | Vijapura Behavioral Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9141 Cypress Green Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Sagar Amit Vijapura (PRESIDENT) |
| Authorized Official Contact | 9047337333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijapura Behavioral Health Pllc 9141 Cypress Green Dr Suite 1 Jacksonville FL 32256-2013 Ph: (904) 733-7333 | Vijapura Behavioral Health Pllc 9141 Cypress Green Dr Suite 1 Jacksonville FL 32256-2013 Ph: (904) 733-7333 |
| NPI Number | 1376904557 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 02/14/2020 |
| Certification Date | 02/14/2020 |
| Medicare PECOS PAC ID | 1658667597 |
|---|---|
| Medicare Enrollment ID | O20160901001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376904557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Amit K Vijapura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427152693 PECOS PAC ID: 9234299884 Enrollment ID: I20081129000038 |
| Provider Name | Sagar A Vijapura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710253885 PECOS PAC ID: 4981900545 Enrollment ID: I20170815004358 |
| Provider Name | Stormy Brooke Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346970167 PECOS PAC ID: 3678949062 Enrollment ID: I20221027000285 |
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