| Florida Psychiatry Associates Llc | |
|
260 Nw Peacock Blvd Ste 102 Port St Lucie FL 34986-2349 | |
| (772) 878-7216 | |
| (772) 878-7218 |
| Full Name | Florida Psychiatry Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 260 Nw Peacock Blvd Ste 102, Port St Lucie, Florida |
| Authorized Official Name and Position | Joanna Vanvleet (OWNER) |
| Authorized Official Contact | 7728787216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Psychiatry Associates Llc 260 Nw Peacock Blvd Ste 102 Port St Lucie FL 34986-2349 Ph: (772) 878-7216 | Florida Psychiatry Associates Llc 260 Nw Peacock Blvd Ste 102 Port St Lucie FL 34986-2349 Ph: (772) 878-7216 |
| NPI Number | 1306120456 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 0345404166 |
|---|---|
| Medicare Enrollment ID | O20120607000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306120456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Krista M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316265994 PECOS PAC ID: 3173706264 Enrollment ID: I20110328000436 |
| Provider Name | Joanna Vanvleet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154535292 PECOS PAC ID: 0840467213 Enrollment ID: I20120607000302 |
| Provider Name | Janile Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588122386 PECOS PAC ID: 6507242047 Enrollment ID: I20221006000636 |
| Provider Name | Erin Kathleen Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467159061 PECOS PAC ID: 8022482397 Enrollment ID: I20230328002124 |
| Provider Name | Kirstin Anastasia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639203979 PECOS PAC ID: 6002279262 Enrollment ID: I20230906000639 |
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