ADLY THEBAUD,MD,PA
NPI 1417018482
Community/Behavioral Health in Orange City, FL

Active since December 13, 2006
2725 REBECCA LN STE 107, ORANGE CITY, FL 32763(386) 775-0736(386) 775-0738 Get Directions Write a Review

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

Record update history: Apr 6, 2026, Nov 9, 2023, Feb 1, 2016 and 1 more (4 updates tracked since 2015).

About Adly Thebaud,md,pa NPPES

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

ADLY THEBAUD,MD,PA (NPI 1417018482), doing business as Family Psychiatry Services, is a healthcare organization registered as a community/behavioral health in Orange City, Florida and active in the NPI registry since December 2006. The organization lists Adly Thebaud, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1417018482
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameADLY THEBAUD,MD,PA
Location Address2725 REBECCA LN STE 107Orange City, FL 32763-8350
Mailing Address2725 Rebecca Ln Ste 107Orange City, FL 32763-8350 · (386) 775-0736 · Fax (386) 775-0738
Fax(386) 775-0738
Organization SubpartNo
Authorized OfficialAdly ThebaudOwner/provider · (386) 775-0736
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 10, 20264 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1417018482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME60436 (FL)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License ARNP 9410846 (FL)
2725 REBECCA LN STE 107, Orange City, FL 32763

Other Names 1

Doing Business AsFamily Psychiatry Services

Other Identifiers 3

Medicaid010364600FL
OtherW9584FL · Medicare
OtherK0231FL · Medicare

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Psychiatric/Mental Health)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763
Nurse Practitioner (Psychiatric/Mental Health)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763
Psychiatry & Neurology (Psychiatry)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763
Clinical Nurse Specialist (Psychiatric/Mental Health)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
2725 REBECCA LN STE 107
ORANGE CITY, FL 32763

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 Adly Thebaud,md,pa's NPI number?

The NPI number for Adly Thebaud,md,pa is 1417018482. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Family Psychiatry Services.

Where is Adly Thebaud,md,pa located?

Adly Thebaud,md,pa is located at 2725 Rebecca Ln Ste 107, Orange City, FL 32763. The listed phone number is (386) 775-0736.

What is Adly Thebaud,md,pa's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Adly Thebaud,md,pa accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Adly Thebaud,md,pa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adly Thebaud,md,pa was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.