RISE PSYCHIATRIC GROUP INC NPI 1013870575

NPI Information

  • NPI: 1013870575
  • Provider Name: RISE PSYCHIATRIC GROUP INC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 145 BEACHWALK SHORE DR STE 102
    ST JOHNS, FL
    ZIP 32259
  • Phone: (904) 747-3181

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NPI Details

RISE PSYCHIATRIC GROUP INC is a psychiatric/mental health nurse practitioner in St Johns, FL. RISE PSYCHIATRIC GROUP INC NPI is 1013870575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

145 BEACHWALK SHORE DR STE 102
ST JOHNS, FL
ZIP 32259-169
Phone: (904) 747-3181
Fax: (904) 491-2179

The provider's authorized official is Clay Grimes .
The authorized official title is Vp/owner and has the following contact phone number (904) 747-3181.

The enumeration date for this NPI number is 12/3/2025 and was last updated on 12/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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