FIRST COAST MENTAL HEALTH P A (NPI# 1285884650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285884650 |
| Entity Type | Organization |
| Organization Name | FIRST COAST MENTAL HEALTH P A |
| Practice Address |
165 Wells Rd Suite 408 Orange Park FL 32073-3035 |
| Practice Telephone | 9042697200 |
| Practice Fax Number | 9042690070 |
| Mailing Telephone | 9042697200 |
| Mailing Fax Number | 9042690070 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MELODY D TAYLOR (OFFICE MANAGER) |
| Authorized Official Telephone | 9042697200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME100502 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
165 WELLS RD SUITE 408 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240504 | Rajesh Kumar Vishen | Specialist | 165 Wells Rd, Orange Park, FL 32073-3035 | 2005-07-28 |
| 1851940613 | Michael Leon Sevick | Nurse Practitioner | 165 Wells Rd, Orange Park, FL 32073-3035 | 2019-09-05 |
| 1396306791 | Almany Parsons | Developmental Therapist | 165 Wells Rd, Orange Park, FL 32073-3035 | 2019-06-26 |
| 1730740135 | Ebony Washington | Developmental Therapist | 165 Wells Rd, Orange Park, FL 32073-3035 | 2019-06-26 |
| 1811152150 | Aaa Marinelli Home Health Agency, Inc D.b.a. Home Instead Senior Care | Home Health | 165 Wells Rd, Suite 301, Orange Park, FL 32073-3035 | 2008-07-25 |
| 1184882995 | Concierge Home Care of Orange Park, Inc | Home Health | 165 Wells Rd, Suite 409, Orange Park, FL 32073-3035 | 2008-05-29 |
| 1134337892 | Vikram Behera | Internal Medicine | 165 Wells Rd, Orange Park, FL 32073-3035 | 2007-05-18 |
| 1720101892 | Carla A Schlenke | Nurse Practitioner | 165 Wells Rd, Suite 404, Orange Park, FL 32073-3035 | 2007-04-06 |
| 1821170085 | Kathleen Brewer Grissett | Psychiatry & Neurology | 165 Wells Rd, Suite 408, Orange Park, FL 32073-3035 | 2006-10-19 |
| 1962418434 | Doroteo Audije | Internal Medicine | 165 Wells Rd, Ste# 1, Orange Park, FL 32073-3035 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488545 | Success Tms North Florida, LLC | Psychiatry & Neurology | 350 Corporate Way Ste 100, Orange Park, FL 32073-2853 | 2020-05-13 |
| 1255740767 | Psychiatric Associates. P.a. | Psychiatry & Neurology | 1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570 | 2014-08-08 |
| 1871933978 | Brittany Susan Blalock | Psychiatry & Neurology | 1677 Wells Rd Ste A, Orange Park, FL 32073-2383 | 2013-07-03 |
| 1568690220 | Anika C Forbes | Psychiatry & Neurology | 1560 Kingsley Ave Ste 2, Orange Park, FL 32073-9200 | 2009-07-01 |
| 1154475044 | Yvonne A Soliman I | Psychiatry & Neurology | 732 Duart Dr, Orange Park, FL 32073-8404 | 2007-01-22 |
| 1932104288 | Kelly T Clouse | Psychiatry & Neurology | 2021 Professional Center Dr Ste 101, Orange Park, FL 32073-4461 | 2005-06-14 |
| 1689164105 | Mohsin Zafar | Psychiatry & Neurology | 2001 Kingsley Ave, Orange Park, FL 32073-5156 | 2018-05-10 |
| 1104222801 | First Coast Psychiatric Services, P.a. | Psychiatry & Neurology | 462 Kingsley Ave, Suite 102, Orange Park, FL 32073-4850 | 2014-11-07 |
| 1316347693 | Anna-marie Veneracion-yumul, Md, Pa | Psychiatry & Neurology | 1409 Kingsley Ave, Ste 9e, Orange Park, FL 32073-4537 | 2014-08-24 |
| 1710243571 | Center for A Healthy Mind and Wellbeing LLC | Psychiatry & Neurology | 1677 Wells Rd, Suite A, Orange Park, FL 32073-6799 | 2012-04-05 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on FIRST COAST MENTAL HEALTH P A.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.