NPIMap

Organization Active NPI

Hakuna Matata Psychiatry Services PLLC

  • Psychiatry Physician
  • Inlet Beach, FL
National Provider Identifier
1699331132
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HAKUNA MATATA PSYCHIATRY SERVICES PLLC
Practice address
13123 E Emerald Coast Pkwy # 193
Inlet Beach, FL 32461-9604
Phone
(850) 460-5543
NPI assigned
May 9, 2019
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Dr. Nelson Antonio Pichardo, MDNPI 1649437401
Title
Psychiatrist
Phone
(850) 460-0959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary
Addiction Psychiatry Physician 2084P0802X
Child & Adolescent Psychiatry Physician 2084P0804X

Addresses

Primary practice location

13123 E Emerald Coast Pkwy # 193
Inlet Beach, FL 32461-9604

Mailing address

13123 E Emerald Coast Pkwy # 193
Inlet Beach, FL 32461-9604
Phone (850) 460-5543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821001208 FL Part B Supplier - Clinic/Group Practice 1153651377 Receives reassigned benefits from 31 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

13123 E Emerald Coast Pkwy
#193
Inlet Beach, FL 32461
Phone (850) 460-5543

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1699331132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 E EMERALD COAST PKWY # 193",
            "city": "INLET BEACH",
            "state": "FL",
            "postal_code": "324619604",
            "telephone_number": "850-460-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 E EMERALD COAST PKWY # 193",
            "city": "INLET BEACH",
            "state": "FL",
            "postal_code": "324619604",
            "telephone_number": "850-460-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAKUNA MATATA PSYCHIATRY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "850-460-0959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inlet Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.