| Artistic Psychiatric Associates Llc | |
|
9889 Gate Pkwy N Ste 305 Jacksonville FL 32246-9230 | |
| (904) 725-6463 | |
| (904) 329-2349 |
| Full Name | Artistic Psychiatric Associates Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 9889 Gate Pkwy N Ste 305, Jacksonville, Florida |
| Authorized Official Name and Position | James Tully (OWNER) |
| Authorized Official Contact | 9047256463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Artistic Psychiatric Associates Llc 9889 Gate Pkwy N Ste 305 Jacksonville FL 32246-9230 Ph: (904) 725-6463 | Artistic Psychiatric Associates Llc 9889 Gate Pkwy N Ste 305 Jacksonville FL 32246-9230 Ph: (904) 725-6463 |
| NPI Number | 1407320690 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 6608114335 |
|---|---|
| Medicare Enrollment ID | O20190205001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407320690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Lynnette D Kennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053510149 PECOS PAC ID: 8729070974 Enrollment ID: I20040330001617 |
| Provider Name | Thomas C Merritt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215927140 PECOS PAC ID: 9931101631 Enrollment ID: I20070209000001 |
| Provider Name | Geraldine Diane Rodrigues-pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255499133 PECOS PAC ID: 1254575970 Enrollment ID: I20130919000660 |
| Provider Name | Virginia Mary Greiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689855264 PECOS PAC ID: 0941430532 Enrollment ID: I20140227000255 |
| Provider Name | James Tully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053933903 PECOS PAC ID: 6709208960 Enrollment ID: I20200617002177 |
| Provider Name | Richard Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306456025 PECOS PAC ID: 6002236643 Enrollment ID: I20201020001488 |
| Provider Name | Hailey Lafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740977347 PECOS PAC ID: 0143681528 Enrollment ID: I20230801004101 |
| Provider Name | Douglas Terry Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467132647 PECOS PAC ID: 2365987211 Enrollment ID: I20240716000023 |
Mark Dearing,lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 San Jose Blvd Ste 401, Jacksonville, FL 32223 Phone: 904-348-0343 | |
Reconnect Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 Riverside Ave, Jacksonville, FL 32205 Phone: 904-483-3843 | |
South Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254 Phone: 904-423-0017 Fax: 904-683-8169 | |
Mtb Therapist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6034 Chester Ave, Jacksonville, FL 32217 Phone: 904-323-2019 | |
Mc Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Lem Turner Rd Unit 100, Jacksonville, FL 32218 Phone: 904-764-2855 Fax: 904-764-2670 | |
Westland Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6196 Lake Gray Blvd, Jacksonville, FL 32244 Phone: 718-483-5093 | |