Rise Psychiatric LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RISE PSYCHIATRIC LLC

Practice address

2020 Chaucer LN
Ponte Vedra, FL 32081-7074

Phone

(720) 448-8858

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

Katherine A Soine, PMHNP-BCNPI 1255096343

Title

President

Phone

(720) 448-8858

Specialties & licenses 1

Addresses

Practitioners 1

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

• Katherine Anita Soine

  • Psychiatric/Mental Health Nurse Practitioner
  • Ponte Vedra, FL
  • NPI 1255096343
  NPD Authorized official

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731801600000",
    "number": "1962186155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CHAUCER LN",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320817074",
            "telephone_number": "720-448-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CHAUCER LN",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320817074",
            "telephone_number": "720-448-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PSYCHIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "SOINE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-448-8858",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Pray Reneau, LCSW
• Brandi Renfro, DPT
• Sabrina Rensink
• Revision Health Services, PLLC
• Sharina Shantel Richardson
• Lyndsey Ritchie
• Julie Roberti, RD
• Kelly Lynn Roberts, LPC, LMHC
• Sarah Robilotta, LMHC, LPCC, LCPP
• Kelsey Rosenblum

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.