MEDICARE: TYSAM CHADLI BECKETT APRN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11014430	FL
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN9368798	FL

General Provider Information

NPI Number	:	1114349735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYSAM CHADLI BECKETT APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	17011 STATE ROAD 50 STE 301
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-8203
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:

Provider Business Practice Location Address
First Line	:	17011 STATE ROAD 50 STE 301
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-8203
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2014
Last Update Date	:	12/18/2025

Similar Medicare Providers

1033064548 — LIZWELL LLC
Practice Location Address:

17011 STATE ROAD 50
CLERMONT, FL
34711-8203

Practice Phone: 352-353-2208
Practice Fax: 352-227-3975

1659361749 — DR. MATTHEW L SMITH M.D.
Practice Location Address:

17011 STATE ROAD 50 STE 103
CLERMONT, FL
34711-8203

Practice Phone: 310-721-3793
Practice Fax:

1053446773 — LATOYA TOMEKA BOYD LMHC
Practice Location Address:

17011 STATE ROAD 50
CLERMONT, FL
34711-8203

Practice Phone: 850-509-4825
Practice Fax:

1215149521 — JAMES MICHAEL BOGAN LCSW
Practice Location Address:

17011 STATE ROAD 50 STE 301
CLERMONT, FL
34711-8203

Practice Phone: 337-693-5248
Practice Fax:

1215138300 — HEATHER LESLIE LINDO LCSW
Practice Location Address:

17011 STATE ROAD 50 STE 301
CLERMONT, FL
34711-8203

Practice Phone: 833-769-3524
Practice Fax:

1174701031 — JANET PATRICIA CHILA LMHC
Practice Location Address:

17011 STATE ROAD 50 STE 301
CLERMONT, FL
34711-8203

Practice Phone: 833-769-3524
Practice Fax:

Directions to “ TYSAM CHADLI BECKETT APRN, PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.