Individual provider Active NPI

Jeffrey Howard Nard, MD

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1184612426
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME128560 Issued in FL
Practice address
736 N Magnolia Ave
Orlando, FL 32803-3809
Phone
(407) 423-7149
Fax
(407) 422-0470
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101043448 VA
Psychiatry Physician 2084P0800X ME128560 FL Primary

Addresses

Primary practice location

736 N Magnolia Ave
Orlando, FL 32803-3809

Mailing address

6795 Sorrento St
Orlando, FL 32819-5287
Phone (760) 889-4819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001334 FL Practitioner - Psychiatry 9739130055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hahnemann University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Group PAGroup PAC ID 0446556716, 16 clinicians

Practice addresses (Care Compare)

736 N Magnolia Ave
Orlando, FL 32803-3809
Phone (407) 423-7149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128560FLMDPsychiatry Physician
0101043448VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Group, PA CurrentSince Aug 1, 2020 Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Dec 1, 2016 Accepting new patients
Atlantic Psychiatric Services Past Accepting new patients
Behavioral & Neuropsychiatric Group, Inc Psychiatry PastSince May 1, 1999 Accepting new patients

Locations

736 N Magnolia Ave
Orlando, FL 32803
Phone (407) 423-7149

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1184612426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 SORRENTO ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195287",
            "telephone_number": "760-889-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 N MAGNOLIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033809",
            "telephone_number": "407-423-7149",
            "fax_number": "407-422-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARD",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101043448",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME128560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.