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BEACHSIDE
NPI 1063919637
Nurse Practitioner - Psychiatric/Mental Health in Ormond Beach, FL

Active since April 10, 2018
198 VINING CT # 5, ORMOND BEACH, FL 32176(386) 256-5553(386) 256-5553 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beachside NPPES

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

BEACHSIDE (NPI 1063919637) is a healthcare organization registered as a psychiatric/mental health in Ormond Beach, Florida and active in the NPI registry since April 2018. The organization lists Melissa Gad, Manager, as its authorized official.

NPPES Registry Identity

NPI1063919637
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePEACE OF MIND--BEACHSIDE
Location Address198 VINING CT # 5Ormond Beach, FL 32176-6658
Mailing Address198 Vining Ct # 5Ormond Beach, FL 32176-6658 · (386) 256-5553 · Fax (386) 256-5553
Phone(386) 256-5553
Fax(386) 256-5553
Organization SubpartNo
Authorized OfficialMelissa GadManager · (386) 262-5197
Enumeration DateApril 10, 2018
✔ NPI 1063919637 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
License✔ Licensed in FL · ARNP9355262
198 VINING CT # 5, Ormond Beach, FL 32176
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Other Names 1

Doing Business AsBeachside

Other Identifiers 1

Medicaid696567FL

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 Peace Of Mind--Beachside's NPI number?

The NPI number for Peace Of Mind--Beachside is 1063919637. It was assigned to this organization in the NPPES registry on April 10, 2018. The provider is doing business as Beachside.

Where is Peace Of Mind--Beachside located?

Peace Of Mind--Beachside is located at 198 Vining Ct # 5, Ormond Beach, FL 32176. The listed phone number is (386) 256-5553.

What is Peace Of Mind--Beachside'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 Peace Of Mind--Beachside was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.