NORTH FLORIDA REGIONAL PSYCHIATRY, LLC (NPI# 1295295178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295295178 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA REGIONAL PSYCHIATRY, LLC |
| Practice Address |
1121 Nw 64th Ter Ste B Gainesville FL 32605-4256 |
| Mailing Address |
2918 Ne 10th St Gainesville FL 32609-3051 |
| Practice Telephone | 6153725426 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | RAVEN SHENETTE MAYES JAMES (APN) |
| Authorized Official Telephone | 3527928069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA ISSUE PROVIDER | 50-2560 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316359383 | North Florida Regional Psychiatry, LLC | Clinic/Center | 1121 Nw 64th Ter, Suite B, Gainesville, FL 32605 | 2014-05-27 |
| Street Address |
1121 NW 64TH TER STE B |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902317159 | Gainesville Hospital District | Clinic/Center | 1900 Hospital Blvd Ste A, Gainesville, TX 76240-2002 | 2017-10-16 |
| 1881916427 | Robert Clyde Grant Md PC | Clinic/Center | 174 Prior St Se, Gainesville, GA 30501-3447 | 2010-02-24 |
| 1932358207 | Dragon Rises School of Oriental Medicine | Clinic/Center | 1000 Ne 16th Ave, Bldg. F, Gainesville, FL 32601-4557 | 2008-09-11 |
| 1972767333 | Malcolm Randall Vamc | Clinic/Center | 5415 Sw 64th Street, Gainesville, FL 32608-2116 | 2008-07-15 |
| 1417498031 | Primary Care Physicians of Gainesville | Clinic/Center | 3780 Nw 83rd St, Gainesville, FL 32606-5603 | 2017-03-15 |
| 1093264384 | First Resort Health Group Inc | Clinic/Center | 408 W University Ave, Suite 200, Gainesville, FL 32601-3248 | 2016-09-27 |
| 1801349915 | Bristow Run Family Medicine | Clinic/Center | 14540 John Marshall Hwy, #104, Gainesville, VA 20155-1691 | 2016-07-26 |
| 1790135994 | First Resort Health Group Inc D/b/a Alcide Chiropractic | Clinic/Center | 2727 Nw 43rd St, Suite 8, Gainesville, FL 32606-6632 | 2016-06-18 |
| 1043618259 | Annual Wellness Centers of America | Clinic/Center | 3030 Mcever Rd, Suite 300, Gainesville, GA 30504-5579 | 2014-12-22 |
| 1316359383 | North Florida Regional Psychiatry, LLC | Clinic/Center | 1121 Nw 64th Ter, Suite B, Gainesville, FL 32605 | 2014-05-27 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on NORTH FLORIDA REGIONAL PSYCHIATRY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.