Individual provider Active NPI

Melissa Miller Gad, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1295773497
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9355262 Issued in FL
Practice address
208 Booth Road Suite C
Ormond Beach, FL 32714
Phone
(386) 256-4118
Fax
(386) 256-4303
NPI assigned
Jun 2, 2006
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1428 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9355262 FL Primary

Addresses

Primary practice location

208 Booth Road Suite C
Ormond Beach, FL 32714

Mailing address

3320 Ocean Shore Blvd
Ormond Beach, FL 32176
Phone (337) 233-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131121000944 FL Practitioner - Nurse Practitioner 0941212237 Reassigns benefits to 2 organizations
I20240102002113 CT Practitioner - Nurse Practitioner 0941212237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1428LAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Saafe Health Services LLC CurrentSince Jul 18, 2016 Accepting new patients
Northeast Neuropsychology, LLC PastSince Sep 1, 2008 Accepting new patients

Locations

201 W Plymouth Ave
Deland, FL 32720
Phone (386) 872-2963

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1295773497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OCEAN SHORE BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32176",
            "telephone_number": "337-233-2400",
            "fax_number": "337-232-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BOOTH ROAD SUITE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "386-256-4118",
            "fax_number": "386-256-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAD",
        "first_name": "MELISSA",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "1428",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9355262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.