Organization Active NPI

Ducky Behavioral Solutions, Inc

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1063183291
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DUCKY BEHAVIORAL SOLUTIONS, INC
Practice address
7260 Longleaf Branch Dr
Jacksonville, FL 32222-2199
Phone
(904) 899-2160
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Dr. Anderson Jerome Schuyler, ED.D., LMHCNPI 1912427204
Title
President
Phone
(904) 887-5934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7260 Longleaf Branch Dr
Jacksonville, FL 32222-2199

Mailing address

9526 Argyle Forest Blvd # B2142
Jacksonville, FL 32222-2825
Phone (904) 899-2160

National Provider Directory

National Provider Directory

Locations

9526 Argyle Forest Blvd
#B2142
Jacksonville, FL 32222
Phone (904) 899-2160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1063183291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 ARGYLE FOREST BLVD # B2142",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222825",
            "telephone_number": "904-899-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 LONGLEAF BRANCH DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222199",
            "telephone_number": "904-899-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCKY BEHAVIORAL SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "SCHUYLER",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-887-5934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 27, 2021; 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.