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

Marc Adam Macaluso

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841759644

Marc Adam Macaluso is a Psychiatry in Saint Augustine, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2019, 7 years ago. Practices with Villages Regional Hospital Physician Services LLC, a 200-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

400 Health Park Blvd
Saint Augustine, FL 32086-5784
Phone: (904) 819-4560
Show map & directions

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

Additional practice locations (2)

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 — (904) 639-8500
  • 400 Health Park Blvd, St Augustine, FL 32086-5784 — (904) 819-5155

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OS17966 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841759644
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address2001 Kingsley Ave, Orange Park, FL 32073-5156

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2019 (7 years in practice)
Group practice Villages Regional Hospital Physician Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Augustine