Turning Tides Eating Disorder Treatment Center, LLC.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TURNING TIDES EATING DISORDER TREATMENT CENTER, LLC.

Practice address

4300 Marsh Landings Blvd. #101
Jacksonville Beach, FL 32250

Phone

(305) 632-4863

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Robert I Yagoda, LMHC

Title

Ceo/ Clinical Director

Phone

(305) 632-4863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1225529696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 N LAKE VISTA CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281140",
            "telephone_number": "305-632-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDINGS BLVD. #101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "305-632-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNING TIDES EATING DISORDER TREATMENT CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "YAGODA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "305-632-4863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence E Traynor Jr., SME
• Wesley Trocchio, RN
• Jessica Trudnak
• Sharyl J Truty, MD
• Nancy Carol Turner, M.S.
• Kathie C Underhill, LMHC, CEAP
• United Recovery Centers LLC
• University of Florida Jacksonville Physicians, Inc
• University of Florida Jacksonville Physicians, Inc.
• Eugene A Usner Jr., LCSW

• Adult Mental Health Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.