DANIEL MEMORIAL, INC. (NPI# 1346205861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346205861 |
| Entity Type | Organization |
| Organization Name | DANIEL MEMORIAL, INC. |
| Other Organization Name | DANIEL |
| Practice Address |
3725 Belfort Rd Jacksonville FL 32216-5813 |
| Mailing Address |
4203 Southpoint Blvd Jacksonville FL 32216-6164 |
| Practice Telephone | 9042961055 |
| Practice Fax Number | 9044487700 |
| Mailing Telephone | 9042961055 |
| Mailing Fax Number | 9042961953 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | FELIPE PIA (CFO) |
| Authorized Official Telephone | 9042961055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060849100 | 05 | |
| FL | 060849103 | 05 | |
| FL | 060849102 | 05 | |
| FL | 060849116 | 05 |
| Other Name | Type Code |
|---|---|
| daniel | Other Name - Individual/Organization |
| Street Address |
3725 BELFORT RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404007 | Jasmyn C Graham | Marriage & Family Therapist | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2019-08-28 |
| 1750859591 | Tiffany M Haynes | Counselor | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2018-11-09 |
| 1275011645 | Michelle Y Bailey | Counselor | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2018-07-30 |
| 1184100067 | Nicole Long | Nurse Practitioner | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2018-07-13 |
| 1184134645 | Jennifer Gault Rousset | Social Worker | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2017-10-10 |
| 1972032522 | Christian Senko | Social Worker | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2017-06-07 |
| 1447797493 | Takiyah Joseph | Counselor | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2017-01-30 |
| 1316489230 | Tamara Ramos | Social Worker | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2016-11-09 |
| 1528410149 | Elle Marriott | Counselor | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2016-07-07 |
| 1619343217 | Gregory Pittman | Counselor | 3725 Belfort Rd, Jacksonville, FL 32216-5813 | 2015-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1063043420 | Elephant Clinic Ltd. | Community/Behavioral Health | 8 Unf Dr # 221, Jacksonville, FL 32224-7699 | 2020-02-03 |
| 1679056857 | Inspire To Rise Inc. | Community/Behavioral Health | 4603 Silverthorn Dr, Jacksonville, FL 32258-2010 | 2018-09-13 |
| 1558863787 | Positive Development, LLC | Community/Behavioral Health | 3840 Belfort Rd Ste 302, Jacksonville, FL 32216-8210 | 2018-03-04 |
| 1073012555 | Pivotal Step Services, Pllc | Community/Behavioral Health | 1106b Gum Branch Rd, Jacksonville, NC 28540-5743 | 2018-02-09 |
| 1518473594 | Werp LLC | Community/Behavioral Health | 5291 Collins Rd Lot 293, Jacksonville, FL 32244-5389 | 2017-12-28 |
| 1871007062 | National Youth Advocate Program, Inc | Community/Behavioral Health | 2200 Rosselle St, Jacksonville, FL 32204-3126 | 2017-11-27 |
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1598282667 | B.e.h. Elderly Care LLC | Community/Behavioral Health | 5145 Timuquana Rd Apt 6, Jacksonville, FL 32210-8923 | 2017-08-29 |
| 1427598689 | Family Farms of Northeast Florida | Community/Behavioral Health | 16844 Ethel Rd, Jacksonville, FL 32218-1108 | 2017-03-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on DANIEL MEMORIAL, INC..
| 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.