Nautilus Behavioral Health, PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY9064 Issued in FL

Legal business name

NAUTILUS BEHAVIORAL HEALTH, PLLC

Practice address

12412 San Jose Blvd
Suite 203
Jacksonville, FL 32223-8621

Phone

(904) 432-3321

Fax

(904) 432-3324

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Dew-Reeves, PH.D.NPI 1134259757

Title

Co-Owner/Licensed Clinical Psycholo

Phone

(904) 432-3321

Specialties & licenses 1

Addresses

Practitioners 2

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

• Sarah Dew-Reeves, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Jacksonville, FL
  • NPI 1134259757
  NPD (past) Authorized official
• Lisa D Bailey, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Jacksonville, FL
  • NPI 1053634014
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1134577901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD",
            "address_2": "SUITE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238621",
            "telephone_number": "904-432-3321",
            "fax_number": "904-432-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD",
            "address_2": "SUITE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238621",
            "telephone_number": "904-432-3321",
            "fax_number": "904-432-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUTILUS BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "DEW-REEVES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CO-OWNER/LICENSED CLINICAL PSYCHOLO",
        "authorized_official_telephone_number": "904-432-3321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY9064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Huschai Nau, MFTI
• Kristen Naugle
• Steven S Nauman, MD
• Nautilus Health Care Group, LLC
• Naval Hospital at Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville

• Clinical Child & Adolescent Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.