Individual provider Active NPI

Guy Richard Czaykowsky

  • Psychiatry Physician
  • Daytona Beach, FL
National Provider Identifier
1659429223
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 56201 Issued in FL
Practice address
1220 Willis Ave
Daytona Beach, FL 32114-2810
Phone
(386) 236-3210
Fax
(386) 236-3135
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 56201 FL Primary

Addresses

Primary practice location

1220 Willis Ave
Daytona Beach, FL 32114-2810

Mailing address

5224 W State Road 46
Unit 238
Sanford, FL 32771-9230
Phone (386) 236-3210

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000505 FL Practitioner - Psychiatry 4082855200 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 56201FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sma Healthcare, Inc CurrentSince Jun 16, 2013 Accepting new patients
Sma Healthcare Inc CurrentSince Jun 16, 2013 Accepting new patients
Sma Healthcare Inc PastSince Jul 28, 2019 Accepting new patients
Bayview Center for Mental Health Inc PastSince Aug 21, 2012 Accepting new patients
Sma Healthcare Inc Past Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183

225 Fentress Blvd
Ste A
Daytona Beach, FL 32114
Phone (386) 236-3221

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328

702 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 254-1211

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

356 Englenook Dr
Ste 142
Debary, FL 32713

1251 N Stone St
Deland, FL 32720
Phone (386) 469-1544

105 W Calvin St
Deland, FL 32720
Phone (386) 254-1100

330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780

1880 San Sebastian Vw
Ste 4201
St Augustine, FL 32084

Organizations & group practices 5

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1659429223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 W STATE ROAD 46",
            "address_2": "UNIT 238",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719230",
            "telephone_number": "386-236-3210",
            "fax_number": "386-236-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WILLIS AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142810",
            "telephone_number": "386-236-3210",
            "fax_number": "386-236-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAYKOWSKY",
        "first_name": "GUY",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 56201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.