Individual provider Active NPI

Neethu Rose Sebastian, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1922853233
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11032062 Issued in FL
Practice address
7501 Wiles Rd Ste 202
Coral Springs, FL 33067-2079
Phone
(954) 341-1022
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11032062 FL Primary

Addresses

Primary practice location

7501 Wiles Rd Ste 202
Coral Springs, FL 33067-2079

Mailing address

7501 Wiles Rd Ste 202
Coral Springs, FL 33067-2079
Phone (954) 341-1022

Other practice location 1

3919 Tampa Rd
Oldsmar, FL 34677-3114
Phone (727) 733-6111

Other practice location 2

2601 W Lake Mary Blvd Ste 113
Lake Mary, FL 32746-3567
Phone (407) 328-1005

Other practice location 3

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926004478 FL Practitioner - Nurse Practitioner 6608307921 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians
Health Care Center for the Homeless IncGroup PAC ID 6103895107, 51 clinicians
Ace Behavioral Health LLCGroup PAC ID 2668984675, 38 clinicians
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

1277 N Semoran Blvd
Suite 112
Orlando, FL 32807-3573
Phone (800) 457-4573

232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone 4074285751329

5406 Hoover Blvd
Suite 18
Tampa, FL 33634-5330
Phone (866) 770-4104

725 N 12TH Ave
B
Arcadia, FL 34266-8752
Phone (863) 494-1242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Behavioral Health LLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Sep 14, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Sep 14, 2024 Accepting new patients
Citrus County Rural Health Inc CurrentSince Sep 1, 2025 Accepting new patients
Broward Institute of Neuro Science L L C PastSince Jun 9, 2024 Accepting new patients
Rega Mental Health Center, LLC PastSince Sep 28, 2021 Accepting new patients
Rega Mental Health Center, LLC PastSince Jun 9, 2024 Accepting new patients

Locations

725 N 12th Ave
#B
Arcadia, FL 34266
Phone (863) 494-1242

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

927 N Citrus Ave
Crystal River, FL 34428
Phone (352) 404-5588

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1922853233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672079",
            "telephone_number": "954-341-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672079",
            "telephone_number": "954-341-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 Tampa Rd",
            "address_purpose": "LOCATION",
            "city": "Oldsmar",
            "state": "FL",
            "postal_code": "346773114",
            "country_code": "US",
            "telephone_number": "727-733-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Lake Mary Blvd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327463567",
            "country_code": "US",
            "telephone_number": "407-328-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "fax_number": "863-993-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "NEETHU",
        "middle_name": "ROSE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11032062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.