Organization Active NPI

First Coast Integrative Psychiatry

  • Psychiatry Physician
  • St Augustine, FL
National Provider Identifier
1750946158
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FIRST COAST INTEGRATIVE PSYCHIATRY
Practice address
304 Kingsley Lake Dr Ste 601
St Augustine, FL 32092-3042
Phone
(352) 339-3064
NPI assigned
May 1, 2019
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Dr. Heather Luing, MDNPI 1952477366
Title
Medical Director
Phone
(352) 339-3064

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

304 Kingsley Lake Dr Ste 601
St Augustine, FL 32092-3042

Mailing address

2220 County Road 210 W Ste 108-221
Jacksonville, FL 32259-4058
Phone (352) 339-6311

National Provider Directory

National Provider Directory

Locations

2220 County Road 210 W
Ste 108221
Jacksonville, FL 32259

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1750946158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COUNTY ROAD 210 W STE 108-221",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594058",
            "telephone_number": "352-339-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 KINGSLEY LAKE DR STE 601",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923042",
            "telephone_number": "352-339-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST INTEGRATIVE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "LUING",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-339-3064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.