Northeast Florida Psychiatric Association, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME73316 Issued in FL

Legal business name

NORTHEAST FLORIDA PSYCHIATRIC ASSOCIATION, INC

Practice address

804 Dunlawton Ave Ste 1
Port Orange, FL 32127-4931

Phone

(386) 767-8584

Fax

(386) 767-8536

NPI assigned

Oct 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gary Frick, MDNPI 1962548552

Title

Owner

Phone

(386) 767-8584

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Northeast Florida Psychiatric Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Psychiatric Services of Daytona, PLCC

  • Psychiatry Physician
  • Daytona Beach, FL
  • NPI 1891373601
  NPD tax ID

Locations

Practitioners 4

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

• Gary William Frick, MD

  • Psychiatry Physician
  • Port Orange, FL
  • NPI 1962548552
  Medicare reassignment Care Compare group NPD Authorized official
• Lynn Ann Howard, ARNP, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Orange, FL
  • NPI 1053767921
  Medicare reassignment Care Compare group NPD
• Kelli Nicole Bridgman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Deland, FL
  • NPI 1588841977
  NPD
• April Guinyard

  • Pain Medicine Physician
  • Oakland Park, FL
  • NPI 1427637461
  NPD (past)

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1558798405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 DUNLAWTON AVE STE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274931",
            "telephone_number": "386-767-8584",
            "fax_number": "386-767-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 DUNLAWTON AVE STE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274931",
            "telephone_number": "386-767-8584",
            "fax_number": "386-767-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FLORIDA PSYCHIATRIC ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "FRICK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-767-8584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME73316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Noltemeyer
• Jessica R. Noonan
• Heather Lynne Norman, FNP C
• Jami Norris
• Zachary Norris, DPT
• Novopharm of Tampa LLC
• Dawnelle Noyes
• Jessica Nusbaum
• Stacy A O'Brien, AU.D.
• Steven Christopher James O'Keefe, PHARMACIST

• Psychiatry Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.