NEWLIGHT PSYCHIATRIC SERVICES INC
NPI 1477058691
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL

Active since March 28, 2018
5302 S FLORIDA AVE STE 203, LAKELAND, FL 33813(863) 602-7001 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2024, Mar 28, 2018 (2 updates tracked since 2018).

About Newlight Psychiatric Services Inc NPPES

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

NEWLIGHT PSYCHIATRIC SERVICES INC (NPI 1477058691) is a healthcare organization registered as a psychiatric/mental health in Lakeland, Florida and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Brandon and lists Panchami Thomas, President, as its authorized official.

NPPES Registry Identity

NPI1477058691
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNEWLIGHT PSYCHIATRIC SERVICES INC
Location Address5302 S FLORIDA AVE STE 203Lakeland, FL 33813-4910
Mailing Address2832 Gallagher RdDover, FL 33527-5308 · (727) 424-8419
Organization SubpartNo
Authorized OfficialPanchami ThomasPresident · (727) 424-8419
Enumeration DateMarch 28, 2018
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1477058691 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 · ARNP9253922
5302 S FLORIDA AVE STE 203, Lakeland, FL 33813

Secondary Practice Location 1

Location 1106 W Windhorst RdBrandon, FL 33510-2455 · Phone (813) 373-9531

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newlight Psychiatric Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Newlight Psychiatric Services Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1760026652
1265 E MAIN ST
Bartow, FL 33830
(863) 534-3737
✔ PECOS9.5 mi
Nurse Practitioner
NPI 1750255840
531 ARCH RIDGE LOOP
Seffner, FL 33584
(224) 209-0590
✔ PECOS19 mi
Nurse Practitioner
NPI 1336689819
410 S 11TH ST
Lake Wales, FL 33853
(863) 678-2200
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1063998631
2 TAMPA GENERAL CIR
Tampa, FL 33606
(813) 821-8038
✔ PECOS✔ Accepts Medicare30 mi
Clinical Social Worker
NPI 1023376894
4024 CENTRAL AVE
St Petersburg, FL 33711
(727) 327-7656
✔ PECOS✔ Accepts Medicare47 mi
Clinical Social Worker
NPI 1467016170
1437 S BELCHER RD
Clearwater, FL 33764
(727) 524-4464
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1396330478
2107 PRESIDIO CIR
Euless, TX 76040
(817) 946-9053
✔ PECOS✔ Accepts Medicare964 mi

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 Newlight Psychiatric Services Inc's NPI number?

The NPI number for Newlight Psychiatric Services Inc is 1477058691. It was assigned to this organization in the NPPES registry on March 28, 2018.

Where is Newlight Psychiatric Services Inc located?

Newlight Psychiatric Services Inc is located at 5302 S Florida Ave Ste 203, Lakeland, FL 33813. The listed phone number is (863) 602-7001.

What is Newlight Psychiatric Services Inc's specialty?

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

Is Newlight Psychiatric Services Inc enrolled in Medicare?

Yes. Newlight Psychiatric Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newlight Psychiatric Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Newlight Psychiatric Services Inc. 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. The largest specialties are Nurse Practitioner (5) and Clinical Social Worker (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Newlight Psychiatric Services Inc was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.