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

Thea Brubaker

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1982322293

Thea Brubaker is a Nurse Practitioner in Tallahassee, Florida. Qualified in 2022, 4 years ago. Practices with P360 Care Services PLLC Dba Psych 360, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Pennsylvania.

Years since qualifying
4
Licensed in
FL, PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1965 Capital Cir NE Ste 102
Tallahassee, FL 32308-8402
Phone: (850) 671-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11020903 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP031801 (PA)

Record details

NPI number1982322293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice P360 Care Services Pllc Dba Psych 360 — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations50 on file with Medicare

Other providers in Tallahassee