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

Gracefully Anchored Psychiatry

Organization Child & Adolescent Psychiatry Physician · NPI 1174313936

Gracefully Anchored Psychiatry is a Child & Adolescent Psychiatry Physician in Jacksonville, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4600 Beach Blvd
Jacksonville, FL 32207-4764
Phone: (904) 650-3906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X

Record details

NPI number1174313936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elisha Greggo — Owner · (904) 650-3906
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address4600 Beach Blvd, Jacksonville, FL 32207-4764

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