Justin Michael Mortimer, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME154109 Issued in FL

Practice address

2732 Trollie LN
Jacksonville, FL 32211-3833

Phone

(904) 289-1254

NPI assigned

May 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, SC, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatric Specialty Center, LLCGroup PAC ID 2961702089, 20 clinicians

Caremax Clinic 711 LLCGroup PAC ID 3577806173, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• All About You Home Health Agency Inc Home health agency, Boca Raton, FL, CCN 109462
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• FL PPO
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL HMO C-SNP
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• FL HMO
• FL HMO D-SNP
• Freedom Health HMO Network
• AL HMO
• AL HMO D-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caremax Clinic 711 LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1609359249

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Psychiatric Specialty Center LLC

  • Psychiatry Physician
  • Wellington, FL
  • NPI 1841678141
  Medicare reassignment Care Compare group NPD
• Randolph Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Randolph, MA
  • NPI 1275079097

  FL

  Medicare reassignment NPD
• Randolph Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Greenacres, FL
  • NPI 1699492470

  Psychiatry

  NPD
• Child and Family Psychological Services, PLLC

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Psychiatry

  NPD
• Gia Boca Raton, LLC

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1740961648
  NPD (past)
• Mindpath Health Florida, PLLC

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1467467266
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• All About You Home Health Agency, Inc.

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1700067683
  Care Compare affiliation
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1013277656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 TROLLIE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113833",
            "telephone_number": "904-289-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 TROLLIE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113833",
            "telephone_number": "904-289-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME154109",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Morsberger, DMD
• Ryan Joseph Morse, MD
• Suzan Magda Fawad Morshed
• Monica Mortensen, D.O.
• Ariel M Mortera, PHYSICAL THERAPIST
• Shampriel La'Niecia Morton
• Mosaic Family Services LLC
• Mosaic Monarch LLC
• Neil I Moscoso, RPT
• Candace Moseley

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.