Keystone Psychiatry Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KEYSTONE PSYCHIATRY INC

Practice address

275 S Lawrence Blvd Ste 3
Keystone Heights, FL 32656-9473

Phone

(352) 494-6692

Fax

(352) 558-3422

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Tazzie Harrison McLeod, APRN PMHNP-BC

Title

Owner/Aprn

Phone

(352) 494-6692

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1760166706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 SE 43RD ST",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326565822",
            "telephone_number": "352-494-6692",
            "fax_number": "352-558-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S LAWRENCE BLVD STE 3",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569473",
            "telephone_number": "352-494-6692",
            "fax_number": "352-558-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "TAZZIE",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "352-494-6692",
        "authorized_official_credential": "APRN PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Keystone Heights, FL
• Providers in Keystone Heights, 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 Feb 19, 2024; 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.