SLRC Jacksonville LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

SLRC JACKSONVILLE LLC

Practice address

14286 Beach Blvd Ste 118
Jacksonville, FL 32250-1561

Phone

(727) 418-2567

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Stephen Lomonico

Title

President

Phone

(727) 418-2567

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Ira John Sites III, M.D.

  • Obstetrics & Gynecology Physician
  • Brandon, FL
  • NPI 1639370281
  NPD (past)
• Fabian Alexandro Consbruck, PSYD

  • Clinical Neuropsychologist
  • Castle Rock, CO
  • NPI 1740764158
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1225674849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 BEAUMONT CENTER BLVD STE 918",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14286 BEACH BLVD STE 118",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501561",
            "telephone_number": "727-418-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLRC JACKSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "LOMONICO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-418-2567"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lomonico@thrivebehavioralsciences.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14286 Beach Blvd # 118",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322501561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glenn A Sliwinski, CRNA
• Ryan Landis Sload, MD
• Ronald Sloan, LCSW
• Vincent Joseph Slovan, D.M.D.
• Sharon C Slowik, RD CDE
• SLS Caring Hands
• Jennifer Slusarz-Conroy, PSYD
• Brian Charles Slusser Jr., DPT
• Jason Sluzevich, MD
• Bernadette M. Smail, SLP

• Geriatric Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.