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THE PRACTICE
NPI 1942765300
Psychiatry & Neurology - Psychiatry in Jacksonville, FL

Active since February 08, 2019
3547 HENDRICKS AVE, JACKSONVILLE, FL 32207(904) 877-1100(904) 877-1200 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2023, Sep 1, 2022, Nov 20, 2020 and 1 more (4 updates tracked since 2019).

About The Practice NPPES

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

THE PRACTICE (NPI 1942765300) is a healthcare organization registered as a psychiatry in Jacksonville, Florida and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Jacksonville and lists Charles B Maddix, President & Owner, as its authorized official.

NPPES Registry Identity

NPI1942765300
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameINTEGRATIVE PSYCHIATRIC SOLUTIONS, LLC
Location Address3547 HENDRICKS AVEJacksonville, FL 32207-5309
Mailing Address3547 Hendricks AveJacksonville, FL 32207-5309 · (904) 877-1100 · Fax (904) 877-1200
Phone(904) 877-1100
Fax(904) 877-1200
Organization SubpartNo
Authorized OfficialCharles B MaddixPresident & Owner · (904) 877-1100
Enumeration DateFebruary 8, 2019
Last NPPES UpdateJuly 17, 20234 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1942765300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
3547 HENDRICKS AVE, Jacksonville, FL 32207
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Other Names 1

Doing Business AsThe Practice

Secondary Practice Location 1

Location 12520 University Blvd WJacksonville, FL 32217-2004 · Phone (904) 733-1444 · Fax (904) 733-5258

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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)

The Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Practice, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Charles Maddix, APRN, MSN, PMHNP-BC
Nurse Practitioner
NPI 1790047926
3547 HENDRICKS AVE
Jacksonville, FL 32207
(904) 877-1100
✔ PECOS✔ Accepts MedicareSame address
Raul Soto-Acosta, M.D.
Psychiatry
NPI 1619991106
3547 HENDRICKS AVE
Jacksonville, FL 32207
(904) 877-1100
✔ PECOS✔ Accepts MedicareSame address
Sharon Reiley, NP
Nurse Practitioner
NPI 1235212549
2 SHIRCLIFF WAY STE 900
Jacksonville, FL 32204
(904) 381-9651
✔ PECOS✔ Accepts Medicare3.1 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 Integrative Psychiatric Solutions, LLC's NPI number?

The NPI number for Integrative Psychiatric Solutions, LLC is 1942765300. It was assigned to this organization in the NPPES registry on February 8, 2019. The provider is doing business as The Practice.

Where is Integrative Psychiatric Solutions, LLC located?

Integrative Psychiatric Solutions, LLC is located at 3547 Hendricks Ave, Jacksonville, FL 32207. The listed phone number is (904) 877-1100.

What is Integrative Psychiatric Solutions, LLC's specialty?

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

Is Integrative Psychiatric Solutions, LLC enrolled in Medicare?

Yes. Integrative Psychiatric Solutions, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Psychiatric Solutions, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Integrative Psychiatric Solutions, LLC, in Nurse Practitioner and Psychiatry. 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. Of these, 2 practice at this address and 3 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 Integrative Psychiatric Solutions, LLC was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.