Organization Active NPI

Right Path Behavioral Health Services, LLC.

  • Case Management Agency
  • Jacksonville, FL
National Provider Identifier
1003580101
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RIGHT PATH BEHAVIORAL HEALTH SERVICES, LLC.
Practice address
3890 Dunn Ave Ste 104
Jacksonville, FL 32218-6428
Phone
(904) 367-3363
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha Patterson
Title
Billing Manager
Phone
(904) 765-0665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3890 Dunn Ave Ste 104
Jacksonville, FL 32218-6428

Mailing address

3890 Dunn Ave Ste 1104
Jacksonville, FL 32218-6432
Phone (904) 367-3363

Other identifiers 1

IdentifierTypeStateIssuer
120934300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Right Path Behav HLTH SVCS9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3890 Dunn Ave
Ste 104
Jacksonville, FL 32218
Phone (904) 367-3363

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1003580101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE STE 1104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186432",
            "telephone_number": "904-367-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186428",
            "telephone_number": "904-367-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHT PATH BEHAVIORAL HEALTH SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-765-0665"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120934300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.