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Search › Florida › Behavioral Neurology & Neuropsychiatry Physician

Kim Fredricks, PMHNP-BC

NPI 1104749068 · on the registry since 2026 · sole proprietor

Practice

Address
1200 W Granada Blvd Ste 4
Ormond Beach, FL 32174
Phone
(386) 983-4147
Organisation at this address
Metcare Oncology
Women S Care Ob Gyn Pa
Ormond Family Dental, Pllc
Halifax Health Services Llc
Metropolitan Health Networks
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Behavioral Neurology & Neuropsychiatry Physician
2084B0040X
Also registered as
Neurodevelopmental Disabilities Physician
Psychiatry Physician
Addiction Psychiatry Physician
Geriatric Psychiatry Physician
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida