Altitude Health Corp I LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ALTITUDE HEALTH CORP I LLC

Practice address

9905 Old Saint Augustine Rd Ste 400
Jacksonville, FL 32257-8856

Phone

(904) 877-8275

Fax

(888) 411-8407

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Adam Berk

Title

Ceo/Partner

Phone

(917) 690-7556

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Amanda Kathleen Alexander, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1891461471

  FL, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Amy Michelle Brannon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1306463914

  FL, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Chyade Dobson, MSN, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1942081609

  FL, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Matthew Edward Harnach, M.D.

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1447607486

  FL, Psychiatry

  Medicare reassignment NPD
• Patricia Junquera, M.D.

  • Psychiatry Physician
  • Miami, FL
  • NPI 1750583969

  FL, Psychiatry

  Medicare reassignment NPD
• Nicholas M Kalynych, CRNA

  • Certified Registered Nurse Anesthetist
  • Ponte Vedra, FL
  • NPI 1003884347

  FL

  Medicare reassignment NPD
• Mary Katherine Porter, DNP

  • Nurse Practitioner
  • Ponte Vedra Beach, FL
  • NPI 1447030796

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1831970029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 OLD SAINT AUGUSTINE RD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 OLD SAINT AUGUSTINE RD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578856",
            "telephone_number": "904-877-8275",
            "fax_number": "888-411-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE HEALTH CORP I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO/PARTNER",
        "authorized_official_telephone_number": "917-690-7556"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jackson Altenbach
• Sean M Altenbach, D.M.D.
• Altercare LLC
• Alissa Alterman, O.D.
• Katherine L. Altis
• Allen Bradley Altman, D.P.T
• Mae Altman, LCSW
• Altomare Chiropractic Center PA
• James Altomare, MD
• Jeffry D Altomare, MD

• All providers in Jacksonville, FL
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.