Organization provider

SACRED MIND PSYCHIATRY LLC

Adult Mental Health Clinic/Center Medicare enrolled

SACRED MIND PSYCHIATRY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003794678, based in Lake City, FL. It is classified under Adult Mental Health Clinic/Center.

Getting there

The practice address on file is 4255 SW CAMBRIDGE GLN, Lake City, FL 32024. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4255 SW CAMBRIDGE GLN, Lake City, FL 32024 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
2860972544
Enrollment ID
O20260212004635

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adult Mental Health covers

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NUCC Health Care Provider Taxonomy, code 261QM0850X
Ambulatory Health Care Facilities Clinic/Center Adult Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1003794678 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 22, 2025
Last updatedAug 24, 2025
StatusActive
Practice address 4255 SW CAMBRIDGE GLN
Lake City, FL 32024
(386) 623-1198
Mailing address PO BOX 2666
Lake City, FL 32056
This record was updated on Aug 24, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1003794678 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 7 9 4 6 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 5 9 8 6 5

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003794678?
NPI 1003794678 is the National Provider Identifier assigned to SACRED MIND PSYCHIATRY LLC in Lake City, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Mental Health cover?
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
How do I contact SACRED MIND PSYCHIATRY LLC?
The phone number on file with NPPES is (386) 623-1198, last updated Aug 24, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SACRED MIND PSYCHIATRY LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1003794678 a valid number?
Yes. 1003794678 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.