JACKSONVILLE PSYCHIATRIC ASSOCIATION INC
NPI 1205261765
Psychiatry & Neurology - Psychiatry in Jacksonville, FL

Q: What is Jacksonville Psychiatric Association Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since September 03, 2013

10175 FORTUNE PKWY, SUITE 206, JACKSONVILLE, FL 32256(904) 379-8748(904) 379-8796 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jacksonville Psychiatric Association Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE PSYCHIATRIC ASSOCIATION INC (NPI 1205261765) is a healthcare organization registered as a psychiatry in Jacksonville, Florida and active in the NPI registry since September 2013. The organization lists Imtiaz Rasul, Owner, as its authorized official.

NPPES Registry Identity

NPI1205261765

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameJACKSONVILLE PSYCHIATRIC ASSOCIATION INC

Location Address10175 FORTUNE PKWY, SUITE 206Jacksonville, FL 32256-6746

Mailing Address10175 Fortune Pkwy, Suite 206Jacksonville, FL 32256-6746 · (973) 901-0394 · Fax (941) 205-2422

Phone(904) 379-8748

Fax(904) 379-8796

Organization SubpartNo

Authorized OfficialImtiaz RasulOwner · (973) 901-0394

Enumeration DateSeptember 3, 2013

Last NPPES UpdateSeptember 11, 2025

NPPES CertifiedSeptember 11, 2025

✔ NPI 1205261765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in FL · ME112178

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

10175 FORTUNE PKWY, Jacksonville, FL 32256

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacksonville Psychiatric Association Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacksonville Psychiatric Association Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Imtiaz Rasul, M.D.

Psychiatry

NPI 1205071719

10175 FORTUNE PKWY SUITE 206
Jacksonville, FL 32256

(904) 379-8748

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacksonville Psychiatric Association Inc's NPI number?

The NPI number for Jacksonville Psychiatric Association Inc is 1205261765. It was assigned to this organization in the NPPES registry on September 3, 2013.

Where is Jacksonville Psychiatric Association Inc located?

Jacksonville Psychiatric Association Inc is located at 10175 Fortune Pkwy Suite 206, Jacksonville, FL 32256. The listed phone number is (904) 379-8748.

What is Jacksonville Psychiatric Association Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jacksonville Psychiatric Association Inc enrolled in Medicare?

Yes. Jacksonville Psychiatric Association Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacksonville Psychiatric Association Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Jacksonville Psychiatric Association Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jacksonville Psychiatric Association Inc accept?

Health plans from Molina Healthcare list Jacksonville Psychiatric Association Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacksonville Psychiatric Association Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.