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NORTHEAST FLORIDA PSYCHIATRIC ASSOCIATION, INC
NPI 1558798405
Psychiatry & Neurology - Psychiatry in Port Orange, FL

Active since October 07, 2013
804 DUNLAWTON AVE STE 1, PORT ORANGE, FL 32127(386) 767-8584(386) 767-8536 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Mar 5, 2025 (2 updates tracked since 2025).

About Northeast Florida Psychiatric Association, Inc NPPES

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

NORTHEAST FLORIDA PSYCHIATRIC ASSOCIATION, INC (NPI 1558798405) is a healthcare organization registered as a psychiatry in Port Orange, Florida and active in the NPI registry since October 2013. The organization lists Gary Frick, Owner, as its authorized official.

NPPES Registry Identity

NPI1558798405
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNORTHEAST FLORIDA PSYCHIATRIC ASSOCIATION, INC
Location Address804 DUNLAWTON AVE STE 1Port Orange, FL 32127-4931
Mailing Address804 Dunlawton Ave Ste 1Port Orange, FL 32127-4931 · (386) 767-8584 · Fax (386) 767-8536
Phone(386) 767-8584
Fax(386) 767-8536
Organization SubpartNo
Authorized OfficialGary FrickOwner · (386) 767-8584
Enumeration DateOctober 7, 2013
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1558798405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME73316
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
804 DUNLAWTON AVE STE 1, Port Orange, FL 32127
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Florida Psychiatric Association, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Northeast Florida Psychiatric Association, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Gary Frick, MD
Psychiatry
NPI 1962548552
804 DUNLAWTON AVE STE 1
Port Orange, FL 32127
(386) 767-8584
✔ PECOS✔ Accepts MedicareSame address
Lynn Howard, ARNP, PMHNP, FNP
Nurse Practitioner
NPI 1053767921
804 DUNLAWTON AVE
Port Orange, FL 32127
(386) 767-8584
✔ PECOS✔ Accepts MedicareSame address
Wendy Boone, APRN
Nurse Practitioner
NPI 1033972153
619 KATHERINE ST
South Daytona, FL 32119
(321) 749-4524
✔ PECOS✔ Accepts Medicare3.0 mi
Tami Hill, PMHNP-BC
Nurse Practitioner
NPI 1871384446
3363 PONETA AVE
New Smyrna Beach, FL 32168
(386) 299-7768
✔ PECOS✔ Accepts Medicare7.3 mi
April Guinyard
Nurse Practitioner
NPI 1427637461
1754 E COMMERCIAL BLVD
Oakland Park, FL 33334
(844) 762-3701
✔ PECOS✔ Accepts Medicare210 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 Northeast Florida Psychiatric Association, Inc's NPI number?

The NPI number for Northeast Florida Psychiatric Association, Inc is 1558798405. It was assigned to this organization in the NPPES registry on October 7, 2013.

Where is Northeast Florida Psychiatric Association, Inc located?

Northeast Florida Psychiatric Association, Inc is located at 804 Dunlawton Ave Ste 1, Port Orange, FL 32127. The listed phone number is (386) 767-8584.

What is Northeast Florida Psychiatric Association, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Northeast Florida Psychiatric Association, Inc enrolled in Medicare?

Yes. Northeast Florida Psychiatric Association, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Florida Psychiatric Association, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Northeast Florida Psychiatric Association, 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 (4) and Psychiatry (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Florida Psychiatric Association, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Northeast Florida Psychiatric Association, Inc 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 Northeast Florida Psychiatric Association, Inc was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.