Individual provider Active NPI

Rita W Thanga

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1508480229
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11009359 Issued in FL
Practice address
1660 Prudential Dr Ste 410
Jacksonville, FL 32207-8197
Phone
(904) 376-3800
Fax
(904) 390-7401
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN9339312 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11009359 FL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1660 Prudential Dr Ste 410
Jacksonville, FL 32207-8197

Mailing address

PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011001288 FL Practitioner - Nurse Practitioner 0648678326 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Behavioral Health LLCGroup PAC ID 7315166394, 120 clinicians
TBJ Behavioral Center LLCGroup PAC ID 4981789823, 15 clinicians

Practice addresses (Care Compare)

1660 Prudential Dr
Suite 410
Jacksonville, FL 32207-8197
Phone (904) 376-3800

6300 Beach Blvd
Jacksonville, FL 32216-2708
Phone (904) 724-9202

Merit-based Incentive Payment System (MIPS)

Final score
89.95 of 100Reported as group
Quality
84.69
Promoting interoperability
100
Improvement activities
40
Cost
74.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9339312FLMDAdult Psychiatric/Mental Health Registered Nurse
APRN11009359FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TBJ Behavioral Center LLC CurrentSince Jan 1, 2022 Accepting new patients
Mental Health Resource Center Inc CurrentSince Jul 9, 2021 Accepting new patients
Balanced Wellbeing LLC CurrentSince Mar 1, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Baptist Behavioral Health, LLC Mental Health CurrentSince Aug 14, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Feb 22, 2023 Accepting new patients

Locations

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

1660 Prudential Dr
Ste 410
Jacksonville, FL 32207

3333 W 20th St
Jacksonville, FL 32254
Phone (904) 384-2364

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

11820 Beach Blvd
Jacksonville, FL 32246
Phone (904) 642-9100

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • Direct secure messaging: rthanga157234@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 6

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508480229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748519",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748519",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 PRUDENTIAL DR STE 410",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078197",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGA",
        "first_name": "RITA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "RN9339312",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11009359",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.