Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Adly Thebaud,MD,PA

Community/Behavioral Health Agency in Orange City, FL · enumerated 2006 · authorized official Adly Thebaud, Owner/Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417018482

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Registry record

Entity type Organization (Type 2)

Legal business name Adly Thebaud,MD,PA

Other name <Unavail>

Practice address 2725 Rebecca Ln Ste 107, Orange City, FL, 32763

Phone (386) 775-0736

Fax (386) 775-0738

Enumeration date Dec 13, 2006

Last updated in NPPES Jun 10, 2026

Taxonomy & classification

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License ME60436 (FL) Secondary

251S00000X Community/Behavioral Health Agency Agencies Primary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License ARNP 9410846 (FL) Secondary

Authorized official

Name Adly Thebaud

Title Owner/Provider

Phone (386) 775-0736

Other identifiers

Identifier	Type	State	Issuer
010364600	Medicaid	FL	-
W9584	Other	FL	MEDICARE
K0231	Other	FL	MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Adly Thebaud,MD,PA located?

The practice location on file with NPPES is in Orange City, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-10. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Adly Thebaud Psychiatry Physician · Orange City, FL NPI 1629049770 Natalie Kelly Speranzo-Otero Psychiatric/Mental Health Clinical Nurse Specialist · Orange City, FL NPI 1679797856 Jessica Shutt Adult Psychiatric/Mental Health Clinical Nurse Specialist · Orange City, FL NPI 1700052214 Amber Rieves Psychiatric/Mental Health Nurse Practitioner · Orange City, FL NPI 1194573410 Genesis Feliz-Lopez Psychiatric/Mental Health Nurse Practitioner · Orange City, FL NPI 1588537526

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-10.