| Medical & Psychiatric Insitiute Of Florida, Inc. | |
|
6056 Central Park Blvd Port Orange FL 32127-9539 | |
| (304) 216-4000 | |
| (386) 676-2555 |
| Full Name | Medical & Psychiatric Insitiute Of Florida, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6056 Central Park Blvd, Port Orange, Florida |
| Authorized Official Name and Position | Asad Khan (OWNER) |
| Authorized Official Contact | 3042164000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical & Psychiatric Insitiute Of Florida, Inc. 927 Beville Rd Ste 7 South Daytona FL 32119-1769 Ph: (386) 269-9009 | Medical & Psychiatric Insitiute Of Florida, Inc. 6056 Central Park Blvd Port Orange FL 32127-9539 Ph: (304) 216-4000 |
| NPI Number | 1205278454 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 08/19/2014 |
| Medicare PECOS PAC ID | 9638396526 |
|---|---|
| Medicare Enrollment ID | O20140818001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205278454 | NPI | - | NPPES |
| 0116181000 | Medicaid | WV | |
| 0206560 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | ME114528 (Florida) | Primary |
| Provider Name | Melissa Miller Gad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295773497 PECOS PAC ID: 0941212237 Enrollment ID: I20131121000944 |
| Provider Name | Asad H Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629200647 PECOS PAC ID: 7517123888 Enrollment ID: I20131217001299 |
| Provider Name | Rubens L Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217690 PECOS PAC ID: 9537467352 Enrollment ID: I20160412001433 |
| Provider Name | Rubina Hemani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336522572 PECOS PAC ID: 0345537924 Enrollment ID: I20160926001016 |
| Provider Name | Abdelrahim Ali Abu-shtaiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336632033 PECOS PAC ID: 9638412844 Enrollment ID: I20190509001932 |
| Provider Name | Eva Macdowall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003094723 PECOS PAC ID: 3173688744 Enrollment ID: I20221121003392 |
| Provider Name | Seth Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659017374 PECOS PAC ID: 8426427055 Enrollment ID: I20221202002984 |
| Provider Name | Theawna Trisvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255086385 PECOS PAC ID: 2365812476 Enrollment ID: I20230106001233 |
| Provider Name | Marie N Buissereth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457866592 PECOS PAC ID: 7911267414 Enrollment ID: I20230301001668 |
| Provider Name | Sreejithkumar Sasidharan Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579669 PECOS PAC ID: 5799150934 Enrollment ID: I20230331001317 |
| Provider Name | Shinika Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417679176 PECOS PAC ID: 5698130276 Enrollment ID: I20230504000555 |
| Provider Name | Theotis Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235817354 PECOS PAC ID: 4587016837 Enrollment ID: I20240123000725 |
Counseling Associates Of Port Orange, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3959 S Nova Rd, Suite 5, Port Orange, FL 32127 Phone: 386-761-2390 Fax: 386-761-3256 | |
Center For Behavioral Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave, Suite 3, Port Orange, FL 32127 Phone: 138-695-7390 | |
Self Quest Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3959 S Nova Rd Ste B-15, Port Orange, FL 32127 Phone: 386-566-6632 Fax: 855-471-0759 | |
Dr Anthony S Capozzi Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1730 Dunlawton Ave Ste 3, Port Orange, FL 32127 Phone: 386-957-3905 | |
Bloom Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2473 Karl Dr, Port Orange, FL 32128 Phone: 904-788-9474 Fax: 760-205-4866 | |
Sue Levy Psyd Lcsw Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3959 S Nova Road, Bldg B Suite 23, Port Orange, FL 32127 Phone: 386-253-8439 Fax: 386-253-8439 | |
Grimes Neurology And Concussion Center, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Dunlawton Ave Ste 103, Port Orange, FL 32127 Phone: 386-679-3270 |