Putnam County Alcohol & Drug Council, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PUTNAM COUNTY ALCOHOL & DRUG COUNCIL, INC.

Doing business as

Putnam-St. Johns Behavioral Healthcare

Practice address

330 Kay Larkin Dr
Palatka, FL 32177-2307

Phone

(386) 329-3780

Fax

(386) 385-1269

NPI assigned

Jun 17, 2005

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joyce C Miller

Title

Chairperson Board of Directors

Phone

(386) 325-4714

Specialties & licenses 3

Addresses

Other identifiers 7

Other names 1

• Putnam-St. Johns Behavioral Healthcare Doing business as

Locations

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1023013729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307",
            "telephone_number": "386-329-3780",
            "fax_number": "386-385-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307",
            "telephone_number": "386-329-3780",
            "fax_number": "386-385-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY ALCOHOL & DRUG COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHAIRPERSON BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "386-325-4714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "0354AD252601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "60023030",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID COMP. ACCESS",
            "identifier": "760471800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360349100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "335268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "38327",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CARE MGMT",
            "identifier": "758545400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "274738",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam-St. Johns Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Putnam Community Medical Center LLC (Putnam Community Medical Center)
• Putnam Community Medical Center LLC
• Putnam Community Medical Center of North Florida, LLC (HCA Florida Putnam Hospital)
• Putnam Community Medical Center of North Florida, LLC (HCA Florida Putnam Hospital)
• Putnam Community Medical Center, LLC (Putnam Community Medical Center)
• Putnam County Public School District
• Putnam County Public School District
• Putnam County Public School District
• Putnam County Public School District
• Putnam County Public School District

• Mental Health Clinic/Center (Including Community Mental Health Center) in Palatka, FL
• Providers in Palatka, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.