COLLABORATIVE ADULT PSYCHIATRY LLC.
NPI 1003614645
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Collaborative Adult Psychiatry LLC.'s NPI number?

The NPI number for Collaborative Adult Psychiatry LLC. is 1003614645. It was assigned to this organization in the NPPES registry on March 7, 2025.

Q: What is Collaborative Adult Psychiatry LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 07, 2025

12412 SAN JOSE BLVD STE 304D, JACKSONVILLE, FL 32223(904) 706-1551 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Collaborative Adult Psychiatry Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE ADULT PSYCHIATRY LLC. (NPI 1003614645) is a healthcare organization registered as a psychiatric/mental health in Jacksonville, Florida and active in the NPI registry since March 2025. The organization lists Andrea M House, Owner And Primary Provider, as its authorized official.

NPPES Registry Identity

NPI1003614645

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCOLLABORATIVE ADULT PSYCHIATRY LLC.

Location Address12412 SAN JOSE BLVD STE 304DJacksonville, FL 32223-8620

Mailing Address12412 San Jose Blvd Ste 304dJacksonville, FL 32223-8620 · (904) 706-1551

Phone(904) 706-1551

Organization SubpartNo

Authorized OfficialAndrea M HouseOwner And Primary Provider · (904) 525-0896

Enumeration DateMarch 7, 2025

NPPES CertifiedMarch 7, 2025

✔ NPI 1003614645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

12412 SAN JOSE BLVD STE 304D, Jacksonville, FL 32223

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Adult Psychiatry LLC.'s NPI number?

The NPI number for Collaborative Adult Psychiatry LLC. is 1003614645. It was assigned to this organization in the NPPES registry on March 7, 2025.

Where is Collaborative Adult Psychiatry LLC. located?

Collaborative Adult Psychiatry LLC. is located at 12412 San Jose Blvd Ste 304D, Jacksonville, FL 32223. The listed phone number is (904) 706-1551.

What is Collaborative Adult Psychiatry LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Collaborative Adult Psychiatry LLC. was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.