Provider Demographics
NPI:1760564207
Name:BARACSKAY, DONALD JAMES II (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JAMES
Last Name:BARACSKAY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 TRUMAN SCARBOROUGH WAY
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-1310
Mailing Address - Country:US
Mailing Address - Phone:321-603-6550
Mailing Address - Fax:
Practice Address - Street 1:2355 TRUMAN SCARBOROUGH WAY
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-1310
Practice Address - Country:US
Practice Address - Phone:321-603-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0560062084P0800X
MO20220069112084P0800X
FLME1036862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001081500Medicaid
GA699597456AMedicaid
GA699597456AMedicaid