Active NPI
Irina Tardif
- Psychiatry Physician
- Jacksonville, FL
National Provider Identifier
1992455760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 181079
- Practice address
- 655 W 8TH St FL 4
Jacksonville, FL 32209-6511 - Phone
- (904) 244-3335
- Fax
- (904) 743-5309
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 181079 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St FL 4
Jacksonville, FL 32209-6511
Mailing address
14051 Beach Blvd Apt 2415
Jacksonville, FL 32250-1830
Phone (321) 507-7538
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220815001016 | FL | Order and Referring Only - Psychiatry | 7810370491 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Univ of Central Florida, College of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 44008
Jacksonville, FL 32231
PO Box
Suite 44008
Jacksonville, FL 32231-4008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- itardif581428@direct.shands.ufl.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1992455760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14051 BEACH BLVD APT 2415",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322501830",
"telephone_number": "321-507-7538",
"fax_number": "904-743-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST FL 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-244-3335",
"fax_number": "904-743-5309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARDIF",
"first_name": "IRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "181079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.