Healthcare Provider Details

I. General information

NPI: 1073425120
Provider Name (Legal Business Name): RISING SUN PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 SE 58TH AVE
OCALA FL
34480-6418
US

IV. Provider business mailing address

133 ALMOND RD
OCALA FL
34472-8625
US

V. Phone/Fax

Practice location:
  • Phone: 352-675-3043
  • Fax: 352-261-8722
Mailing address:
  • Phone: 352-675-3043
  • Fax: 352-261-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARIE USHA MEHTA-PINTARD
Title or Position: OWNER
Credential: APRN
Phone: 954-740-4969