Vintage Psychiatric Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VINTAGE PSYCHIATRIC CARE, LLC

Practice address

7163 Hiawassee Oak Dr
Orlando, FL 32818-8357

Phone

(407) 237-0399

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Vada Parke-GaskinNPI 1669906079

Title

Founder

Phone

(469) 905-0020

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vada Parke-Gaskin

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1669906079
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1255038477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7163 HIAWASSEE OAK DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328188357",
            "telephone_number": "407-237-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7163 HIAWASSEE OAK DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328188357",
            "telephone_number": "407-237-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE PSYCHIATRIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "PARKE-GASKIN",
        "authorized_official_first_name": "VADA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "469-905-0020"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vada19jamaica@yahoo.com",
            "affiliation": "N",
            "address_1": "7163 Hiawassee Oak Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328188357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jarvin Vines
• Vinette Scott
• Stephanie Brue Vinokur, D.M.D.
• Jennifer Vinson
• Rishelle Noelle Vinson, BCBA
• Philip Christian Violetta, DPT
• Vip Family HHC, LLC
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• Vip Health Assistance Metrowest LLC
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• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.