Active NPI
Deana Roberts, MPH
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
National Provider Identifier
1194219360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 3954 Anderson Woods Dr
Jacksonville, FL 32218-9218 - Phone
- (904) 514-1242
- Fax
- (904) 779-1994
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Case Management Agency | 251B00000X | FL |
Addresses
Primary practice location
3954 Anderson Woods Dr
Jacksonville, FL 32218-9218
Mailing address
3954 Anderson Woods Dr
Jacksonville, FL 32218-9218
Phone (904) 514-1242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6883611379 | Medicaid | FL | |
| 688361396 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resources for Mental Wellness LLC | Case Management | Current | Accepting new patients |
| Supporting & Improving Lives, LLC | Day Training, Developmentally Disabled Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1144991134
Case Management
-
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
- NPI 1407727951
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1194219360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3954 ANDERSON WOODS DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322189218",
"telephone_number": "904-514-1242",
"fax_number": "904-758-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3954 ANDERSON WOODS DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322189218",
"telephone_number": "904-514-1242",
"fax_number": "904-779-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "DEANA",
"credential": "MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6883611379",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688361396",
"state": "FL"
}
],
"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 Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.