Adly Thebaud, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME60436 Issued in FL

Practice address

2725 Rebecca LN Ste 107
Orange City, FL 32763-8350

Phone

(386) 775-0736

Fax

(386) 775-0738

NPI assigned

Jan 27, 2006

Last updated

Apr 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adly Thebaud,MD,PAGroup PAC ID 0143270579, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• Freedom Health HMO Network

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.

• Adly Thebaud,MD,PA

  dba Family Psychiatry Services

  • Community/Behavioral Health Agency
  • Orange City, FL
  • NPI 1417018482
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1629049770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 REBECCA LN STE 107",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638350",
            "telephone_number": "386-775-0736",
            "fax_number": "386-775-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 REBECCA LN STE 107",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638350",
            "telephone_number": "386-775-0736",
            "fax_number": "386-775-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEBAUD",
        "first_name": "ADLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME60436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "12951",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008922100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W9687",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Tejada, DDS
• Aura Isabel Tello
• Terrence Soule, DDS, PA
• Lorreine Texidor Feliciano, DC
• The Healthcaring Clinic of Florida, LLC
• Katherine Michelle Thompson, APRN
• Makayla Thompson
• Paul Brian Thurston, DPM
• Sunita Tikku, M.D.
• Junie Tilus, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.