Active NPI
North Florida Regional Psychiatry, LLC
- Clinic/Center
- Gainesville, FL
National Provider Identifier
1295295178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NORTH FLORIDA REGIONAL PSYCHIATRY, LLC
- Practice address
- 1121 NW 64TH Ter Ste B
Gainesville, FL 32605-4256 - Phone
- (615) 372-5426
- NPI assigned
- Mar 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raven Shenette Mayes, ONA
- Title
- Optometrist
- Phone
- (352) 792-8069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1121 NW 64TH Ter Ste B
Gainesville, FL 32605-4256
Mailing address
2101 NE 2ND St Apt 114
Gainesville, FL 32609-8626
Phone (352) 792-8069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50-2560 | Other | FL | FLORIDA ISSUE PROVIDER |
National Provider Directory
National Provider Directory- Tax ID family
- North Florida Regional Psychiatry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Gainesville, FL
- NPI 1316359383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615852800000",
"number": "1295295178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 NE 2ND ST APT 114",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326098626",
"telephone_number": "352-792-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 NW 64TH TER STE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054256",
"telephone_number": "615-372-5426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH FLORIDA REGIONAL PSYCHIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-25",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A",
"authorized_official_last_name": "MAYES",
"authorized_official_first_name": "RAVEN",
"authorized_official_middle_name": "SHENETTE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "352-792-8069",
"authorized_official_credential": "ONA"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA ISSUE PROVIDER",
"identifier": "50-2560",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
- North Florida Regional Medical Center, Inc. (HCA Florida North Florida Hospital)
- North Florida Regional Medical Center, Inc. (HCA Florida Senior Healthcare Center - Springhill, a department of HCA Florida North Florida Hospita)
- North Florida Regional Medical Center, Inc. (HCA Florida Senior Healthcare Center-Crown Point, a department of HCA Florida North Florida Hospital)
- North Florida Regional Medical Center, Inc. (HCA Florida Gainesville Hospital Inpatient Rehabilitation)
- North Florida Regional Otolaryngology, LLC
- North Florida Regional Psychiatry, LLC
- North Florida Rehab and Chiropractic, LLC
- North Florida Retirement Village
- North Florida SNF Operator LLC
- North Florida Surgical Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.