NPIMap

Organization Active NPI

Mosaic Psychiatry LLC

  • Psychiatry Physician
  • Daytona Beach, FL
National Provider Identifier
1992696074
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MOSAIC PSYCHIATRY LLC
Practice address
3500 W International Speedway Blvd
Daytona Beach, FL 32124-1026
Phone
(407) 906-3755
Fax
(386) 271-2861
NPI assigned
Jul 15, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Tarek Aly, MD, MPHNPI 1225419559
Title
Owner
Phone
(386) 314-6026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3500 W International Speedway Blvd
Daytona Beach, FL 32124-1026

Mailing address

3500 W International Speedway Blvd
Daytona Beach, FL 32124-1026
Phone (407) 906-3755

National Provider Directory

National Provider Directory

Locations

3500 W International Speedway Blvd
Daytona Beach, FL 32124
Phone (407) 906-3755

208 Booth Rd
Ste D
Ormond Beach, FL 32174
Phone (407) 906-3755

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1992696074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241026",
            "telephone_number": "407-906-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241026",
            "telephone_number": "407-906-3755",
            "fax_number": "386-271-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "ALY",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-314-6026",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.