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

Prital Desai

Individual provider Psychiatry Physician · NPI 1801224092

Prital Desai is a Psychiatry in Santa Rosa, California. Qualified in 2005, 21 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

480 Tesconi Cir Ste B
Santa Rosa, CA 95401
Phone: (707) 206-7268
Fax: (707) 206-7254
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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 A150768 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence A150769 (CA)

Record details

NPI number1801224092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2013
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing address480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Rosa