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Deactivated NPI 1811009434 Deactivated / Inactive NPI Male Practitioner

Dr. Tin Trong Nguyen , MD

Psychiatric Unit • Macclenny, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Tin Nguyen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date August 21, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Tin Nguyen, MD was a registered Psychiatric Unit practicing in Macclenny, FL. Throughout an active medical career spanning 12 years, Dr. Nguyen provided care at the practice location at 7487 S STATE ROAD 121 until profile deactivation on 2018-08-21.

Practice Location & Contact Primary Location

Practice Address

7487 S State Road 121

Macclenny, FL 320635451

Telephone 9042596211
Fax 9042597104
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychiatric Unit in Macclenny, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Macclenny, FL (4 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychiatric Unit Primary Specialty

NUCC Taxonomy Code: 273R00000X

State License FL ME45874

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. Luna Iskander , MD

Psychiatry & Neurology - Psychiatry

NPI 1003900713

Doctor of Medicine (M.D.)

Dr. Nhan Le , MD

Family Medicine

NPI 1023114147

Doctor of Medicine (M.D.)

Dr. Ky Dang , MD

Family Medicine

NPI 1083723951

Doctor of Medicine (M.D.)

Merredith Oakes

Nurse Practitioner - Family

NPI 1144605148
Dr. Jane Echterling , PhD

Psychologist - Clinical

NPI 1174734073

Doctor of Philosophy (Ph.D.)

Amy Harvey , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1275152480

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 21, 2018

Record deactivated on August 21, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7487 S STATE ROAD 121, MACCLENNY, FL 320635451 (Tel: 9042596211)

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Updated Business Mailing Address July 08, 2007

Registered at 7487 S STATE ROAD 121, MACCLENNY, FL 320635451 (Tel: 9042596211)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TIN NGUYEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychiatric Unit (License #ME45874 in FL)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811009434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Deactivation Date: August 21, 2018

Mailing Address

7487 S State Road 121

Macclenny, FL 320635451

Phone: 9042596211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.