Collaborative Adult Psychiatry LLC.
NPI 1003614645 · Psychiatric/Mental Health Nurse Practitioner · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Collaborative Adult Psychiatry LLC. is a Psychiatric/Mental Health Nurse Practitioner organization in Jacksonville, FL (NPI 1003614645).
Provider details
- NPI number
- 1003614645
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Andrea House, Owner and Primary Provider(904) 525-0896
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Collaborative Adult Psychiatry LLC.'s NPI number?
- Collaborative Adult Psychiatry LLC.'s National Provider Identifier (NPI) is 1003614645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collaborative Adult Psychiatry LLC.?
- Collaborative Adult Psychiatry LLC. is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Collaborative Adult Psychiatry LLC. located?
- Collaborative Adult Psychiatry LLC.'s practice location on file with NPPES is 12412 San Jose Blvd Ste 304d, Jacksonville, FL 32223-8620.
- What is Collaborative Adult Psychiatry LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Collaborative Adult Psychiatry LLC. is (904) 706-1551.
- Does Collaborative Adult Psychiatry LLC. accept Medicare?
- Collaborative Adult Psychiatry LLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Collaborative Adult Psychiatry LLC.?
- The authorized official listed on Collaborative Adult Psychiatry LLC.'s NPPES record is Andrea House, Owner and Primary Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collaborative Adult Psychiatry LLC.'s NPI active?
- Yes — Collaborative Adult Psychiatry LLC.'s NPI (1003614645) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.