VINTAGE PSYCHIATRIC CARE, LLC
NPI 1255038477
Clinic/Center - Primary Care in Orlando, FL
About Vintage Psychiatric Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VINTAGE PSYCHIATRIC CARE, LLC (NPI 1255038477) is a healthcare organization registered as a primary care in Orlando, Florida and active in the NPI registry since February 2023. The organization lists Vada Parke-gaskin, Founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vintage Psychiatric Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vintage Psychiatric Care, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vintage Psychiatric Care, LLC's NPI number?
The NPI number for Vintage Psychiatric Care, LLC is 1255038477. It was assigned to this organization in the NPPES registry on February 8, 2023.
Where is Vintage Psychiatric Care, LLC located?
Vintage Psychiatric Care, LLC is located at 7163 Hiawassee Oak Dr, Orlando, FL 32818. The listed phone number is (407) 237-0399.
What is Vintage Psychiatric Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vintage Psychiatric Care, LLC enrolled in Medicare?
Yes. Vintage Psychiatric Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vintage Psychiatric Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vintage Psychiatric Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vintage Psychiatric Care, LLC was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Vintage Psychiatric Care, Llc · NPI 1255038477
Primary Care organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since February 8, 2023.
## Identity
- **NPI:** 1255038477 (Entity type: Organization)
- **Enumerated:** February 8, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Vada Parke-Gaskin, FOUNDER
## Practice location
- **Address:** 7163 HIAWASSEE OAK DR, Orlando, FL 32818-8357
- **Phone:** (407) 237-0399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255038477) · Data from the CMS NPPES public registry.