Havennexus Family Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HAVENNEXUS FAMILY PSYCHIATRY LLC

Practice address

50 Leanni Way Unit B1
Palm Coast, FL 32137-4754

Phone

(386) 334-5657

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Tolulope Oduyejo Williams

Title

Owner

Phone

(386) 334-5657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Marie Oliver, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • St Augustine, FL
  • NPI 1144518630

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Tolulope A Oduyejo-Williams, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1720524531
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1750147971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S BEACH ST STE 202",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT B1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374754",
            "telephone_number": "386-334-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENNEXUS FAMILY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TOLULOPE",
        "authorized_official_middle_name": "ODUYEJO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-334-5657"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Neal Harris, PHARMD
• Lisa M Harrison
• Alexander Hasanov
• Robert J Haskell, CSFA
• Sameer Nitin Hate, D.M.D.
• Marlene Frances Hawkins, RPH
• Jazzmyn Hayden
• Stephanie May Hayes
• Healing Roots Mental Health Family Services LLC
• Healthy Smiles Dental of Palm Coast LLC

• Psychiatric/Mental Health Nurse Practitioner in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.