Elephant Clinic LTD.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELEPHANT CLINIC LTD.

Practice address

8 Unf Dr # 221
Jacksonville, FL 32224-7699

Phone

(904) 860-4813

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Packiam Alloway, PHD

Title

Licensed Psychologist

Phone

(904) 860-4813

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581206400000",
    "number": "1063043420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 UNF DR # 221",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247699",
            "telephone_number": "904-860-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 UNF DR # 221",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247699",
            "telephone_number": "904-860-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEPHANT CLINIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A",
        "authorized_official_last_name": "ALLOWAY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "PACKIAM",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-860-4813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "address_1": "8 Unf Dr # 221",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322247699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacob Raphael Eleazer, PHD
• Katrina Pam Eleftheropoulos, PA-C
• Adekunle Elegbede, M.D., PH.D
• Erica M Elek, APRN
• Shaquanda M Elem, M.A. LMHC
• Elevated Health & Company, LLC
• Elevateeq Health PLLC (ElevateEQ Health)
• Elevation Homecare LLC
• Elevation Rehab, LLC
• Eleven Hearts TLC Homecare

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.