Healthcare Provider Details

I. General information

NPI: 1033853460
Provider Name (Legal Business Name): TAYLOR J. BELLFIELD DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 60538
FLORENCE MA
01062-0538
US

V. Phone/Fax

Practice location:
  • Phone: 352-392-4541
  • Fax: 352-294-8519
Mailing address:
  • Phone: 413-341-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11039641
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2360785
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2360785
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: