DR. BRODY LLC
NPI 1780072512
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake City, FL

Active since January 01, 2015
871 SW STATE ROAD 47, LAKE CITY, FL 32025(386) 755-1720(386) 754-1325 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brody Llc NPPES

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

DR. BRODY LLC (NPI 1780072512) is a healthcare organization registered as a mental health (including community mental health center) in Lake City, Florida and active in the NPI registry since January 2015. The organization lists Barry Brody, Manager-member, as its authorized official.

NPPES Registry Identity

NPI1780072512
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBARRY BRODY PHD LLC
Location Address871 SW STATE ROAD 47Lake City, FL 32025-0433
Mailing Address871 Sw State Road 47Lake City, FL 32025-0433 · (386) 755-1720 · Fax (386) 754-1325
Fax(386) 754-1325
Organization SubpartNo
Authorized OfficialBarry BrodyManager-member · (386) 755-1720
Enumeration DateJanuary 1, 2015
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
NPI 1780072512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in FL · MT983
871 SW STATE ROAD 47, Lake City, FL 32025

Other Names 1

Doing Business AsDr. Brody Llc

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.

Psychologist (Clinical)
871 SW STATE ROAD 47
LAKE CITY, FL 32025
Nurse Practitioner
871 SW STATE ROAD 47
LAKE CITY, FL 32025
Counselor (Mental Health)
871 SW STATE ROAD 47
LAKE CITY, FL 32025
Marriage & Family Therapist
871 SW STATE ROAD 47
LAKE CITY, FL 32025
Speech-Language Pathologist
871 SW STATE ROAD 47
LAKE CITY, FL 32025

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 Barry Brody Phd LLC's NPI number?

The NPI number for Barry Brody Phd LLC is 1780072512. It was assigned to this organization in the NPPES registry on January 1, 2015. The provider is doing business as Dr. Brody LLC.

Where is Barry Brody Phd LLC located?

Barry Brody Phd LLC is located at 871 SW State Road 47, Lake City, FL 32025. The listed phone number is (386) 755-1720.

What is Barry Brody Phd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Barry Brody Phd LLC was last updated on September 27, 2023. 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.