Nelson Antonio Pichardo, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME113342 Issued in FL

Practice address

253 Woodbriar Dr
Santa Rosa Beach, FL 32459

Phone

(850) 460-5543

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hakuna Matata Psychiatry Services PLLCGroup PAC ID 1153651377, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hakuna Matata Psychiatry Services PLLC

  • Psychiatry Physician
  • Inlet Beach, FL
  • NPI 1699331132
  Medicare reassignment Care Compare group Authorized official
• Aspire Health Partners, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orlando, FL
  • NPI 1821033903

  Multi-Specialty

  Medicare reassignment NPD
• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577

  Multi-Specialty

  Medicare reassignment NPD
• Tele Med Clinix LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sanford, FL
  • NPI 1780204305

  Multi-Specialty

  Medicare reassignment NPD
• Tranquil Waters Counseling LLC

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1184085508

  Multi-Specialty

  Medicare reassignment NPD
• Hakuna Matata Psychiatry and Counseling

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1013729599

  Multi-Specialty

  NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD
• Harmony Road Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1952022337

  Multi-Specialty

  NPD
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  NPD (past)
• Moore Medical Group Inc

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1578724183

  Multi-Specialty

  NPD (past)
• Pearl of the Sea Retreat, LLC

  • Substance Abuse Rehabilitation Facility
  • Saint Augustine, FL
  • NPI 1023580586
  NPD (past)
• Tele Med Clinix Lousiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1346085719
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1649437401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 WOODBRIAR DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590617",
            "telephone_number": "850-460-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WOODBRIAR DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-460-5543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Boatner Rd",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "325421302",
            "country_code": "US",
            "telephone_number": "850-833-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 W Warren Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504038",
            "country_code": "US",
            "telephone_number": "407-262-2220",
            "fax_number": "407-834-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "NELSON",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME113342",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME113342",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME113342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Allen Perkins
• Rachel Nicole Perret, PA-C
• Vu Thy Ngan Phan, PHARMACIST
• David E Phillips, M.D.
• Anne Marie Piantanida-Whitlock, MD
• Pinnacle Home Care of the Panhandle, LLC
• Lisa Guerra Pisa, MED, CCC-SLP
• Kara Place
• Point Washington Medical Clinic Inc
• Premier Rehab Management, LLC

• Psychiatry Physician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, 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 5, 2023; 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.