Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mohammad Farooque, MD, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730100587

Dr. Mohammad Farooque, MD, PHD is a Psychiatry in Jacksonville, Florida. Qualified in 1984, 42 years ago. Practices with Craft Behavioral Health, LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Missouri.

Years since qualifying
42
Licensed in
FL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10175 Fortune Pkwy Ste #1106
Jacksonville, FL 32256-6746
Phone: (904) 379-5928
Fax: (904) 379-5967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME100550 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2005013889 (MO)

Record details

NPI number1730100587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedJuly 21, 2006
Last updated in NPPESMarch 18, 2014
Mailing address10175 Fortune Pkwy, Suite #1106, Jacksonville, FL 32256-6746

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Craft Behavioral Health, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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