NPIMap

Organization Active NPI

Marsh Landing Behavioral Group Inc

  • Child & Adolescent Psychiatry Physician
  • Jacksonville Beach, FL
National Provider Identifier
1124143490
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
MARSH LANDING BEHAVIORAL GROUP INC
Practice address
1538 The Greens Way
Suite 101
Jacksonville Beach, FL 32250-2499
Phone
(904) 543-0161
Fax
(904) 543-9172
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. Mark Christopher Tomaski, M.D.NPI 1730289216
Title
Ceo, Medical Director
Phone
(904) 543-0161

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
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

1538 The Greens Way
Suite 101
Jacksonville Beach, FL 32250-2499

Mailing address

1538 The Greens Way
Suite 101
Jacksonville Beach, FL 32250-2499
Phone (904) 543-0161

National Provider Directory

National Provider Directory

Locations

1538 The Greens Way
Ste 101
Jax Bch, FL 32250
Phone (904) 543-0161

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1124143490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 THE GREENS WAY",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502499",
            "telephone_number": "904-543-0161",
            "fax_number": "904-543-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 THE GREENS WAY",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502499",
            "telephone_number": "904-543-0161",
            "fax_number": "904-543-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH LANDING BEHAVIORAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "TOMASKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-543-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.