Individual provider Active NPI

Nelson Antonio Pichardo, MD

  • Psychiatry Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1649437401
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME113342 Issued in FL
Practice address
253 Woodbriar Dr
Santa Rosa Beach, FL 32459-0617
Phone
(850) 687-5990
NPI assigned
May 20, 2008
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME113342 FL
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X ME113342 FL
Psychiatry Physician 2084P0800X ME113342 FL Primary

Addresses

Primary practice location

253 Woodbriar Dr
Santa Rosa Beach, FL 32459-0617

Mailing address

253 Woodbriar Dr
Santa Rosa Beach, FL 32459-0617
Phone (850) 460-0959

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160401000820 FL Practitioner - Psychiatry 5193022325 Reassigns benefits to 5 organizations
I20230929003036 GA Practitioner - Psychiatry 5193022325

Care Compare profile

Medicare Care Compare
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)

570 Lexington Green LN
Sanford, FL 32771-1026
Phone (321) 209-4040

601 E Rollins St
Orlando, FL 32803-1248
Phone (850) 687-5990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME113342FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hakuna Matata Psychiatry and Counseling Multi-Specialty Current Accepting new patients
Tranquil Waters Counseling LLC Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 23, 2022 Accepting new patients
Orlando Health Medical Group Inc Multi-Specialty CurrentSince Dec 23, 2022 Accepting new patients
Tele Med Clinix LLC Multi-Specialty CurrentSince Feb 14, 2022 Accepting new patients
Aspire Health Partners, Inc. Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Harmony Road Recovery LLC Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Pearl of the Sea Retreat, LLC Past Accepting new patients
Adventist Health System-Sunbelt, Inc Past Accepting new patients
Tele Med Clinix Lousiana PastSince Jun 30, 2024 Accepting new patients
Moore Medical Group Inc Multi-Specialty PastSince Nov 1, 2015 Accepting new patients

Locations

455 W Warren Ave
Longwood, FL 32750
Phone (407) 260-0551

455 W Warren Ave
Ste 100
Longwood, FL 32750

12617 Narcoossee Rd
Ste 110
Orlando, FL 32832
Phone (407) 738-3589

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

570 Lexington Green Ln
Sanford, FL 32771
Phone (321) 209-4040

127 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 906-5092

5741 Belding Dr
Ste B
El Paso, TX 79925
Phone (915) 271-8971

813 N Kansas St
Ste 200
El Paso, TX 79902
Phone (915) 271-8971

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "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": "324590617",
            "telephone_number": "850-687-5990"
        }
    ],
    "practiceLocations": [],
    "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": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME113342",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction 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": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.