Organization
MYPSYCHMD LLC
Active
Organization
MYPSYCHMD LLC
Active
Other names
Saira Saqib,MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIRA SAQIB MD (OWNER/ PHYSICIAN)
(904) 296-3113
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 304, JACKSONVILLE, FL 32216-6287
(904) 296-3113
(904) 372-6175
Mailing address
2220 COUNTY ROAD 210 W # 108-177, JACKSONVILLE, FL 32259-4058
(904) 296-3113
(904) 372-6175
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC1900X
Counseling Psychologist
—
—
174400000X
Specialist
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME108320
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
07/30/2021
Last updated
03/07/2023
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