Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adly Thebaud, MD, PA

Organization Child & Adolescent Psychiatry Physician · NPI 1417018482

Adly Thebaud, MD, PA is a Child & Adolescent Psychiatry Physician in Orange City, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2725 Rebecca Ln Ste 107
Orange City, FL 32763-8350
Phone: (386) 775-0736
Fax: (386) 775-0738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (FL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence ME60436 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence ARNP 9410846 (FL)

Record details

NPI number1417018482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adly Thebaud — Owner/Provider · (386) 775-0736
Other names Family Psychiatry Services; Family Psychiatry Services
NPI enumeratedDecember 13, 2006
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address2725 Rebecca Ln Ste 107, Orange City, FL 32763-8350