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GRACEFULLY ANCHORED PSYCHIATRY
NPI 1174313936
Psychiatry & Neurology - Child & Adolescent Psychiatry in Jacksonville, FL

Active since May 07, 2025
4600 BEACH BLVD, JACKSONVILLE, FL 32207(904) 650-3906 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gracefully Anchored Psychiatry NPPES

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

GRACEFULLY ANCHORED PSYCHIATRY (NPI 1174313936) is a healthcare organization registered as a child & adolescent psychiatry in Jacksonville, Florida and active in the NPI registry since May 2025. The organization lists Elisha Greggo, Owner, as its authorized official.

NPPES Registry Identity

NPI1174313936
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameGRACEFULLY ANCHORED PSYCHIATRY
Location Address4600 BEACH BLVDJacksonville, FL 32207-4764
Mailing Address4600 Beach BlvdJacksonville, FL 32207-4764 · (904) 650-3906
Phone(904) 650-3906
Organization SubpartNo
Authorized OfficialElisha GreggoOwner · (904) 650-3906
Enumeration DateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1174313936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

4600 BEACH BLVD, Jacksonville, FL 32207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KRISTIN I OWEN PT
Physical Therapist
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Duval County (904) 346-5100
MS. LORI LYNN FRAZIER M. A., LMHC
Counselor (Mental Health)
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Duval County (904) 346-5100
MRS. ELAINE SMART CULVYHOUSE
Psychologist (School)
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Duval County (904) 346-5100
MR. TIMOTHY GEORGE STAVROPULOS M.A., CCC-SLP
Speech-Language Pathologist
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Duval County (904) 346-5100
MRS. PATRICIA JO PALLAY LMHC
Counselor (Mental Health)
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Duval County (904) 346-5100
MR. JOSEPH PESEK III M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Duval County (904) 346-5100
MS. LINDSEY OLINE HAUGAN OTR
Occupational Therapist
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Duval County (904) 346-5100
SUSAN GREEN SLP
Speech-Language Pathologist
4600 BEACH BLVD
JACKSONVILLE, FL 32207
Duval County (904) 346-5100

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 Gracefully Anchored Psychiatry's NPI number?

The NPI number for Gracefully Anchored Psychiatry is 1174313936. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Gracefully Anchored Psychiatry located?

Gracefully Anchored Psychiatry is located at 4600 Beach Blvd, Jacksonville, FL 32207. The listed phone number is (904) 650-3906.

What is Gracefully Anchored Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Gracefully Anchored Psychiatry was last updated on May 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.