NPIMap

Organization Active NPI

Clay Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • Middleburg, FL
National Provider Identifier
1275619488
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0410AD31700 Issued in FL
Legal business name
CLAY BEHAVIORAL HEALTH CENTER INC
Practice address
3292 County Road 220
Middleburg, FL 32068-4357
Phone
(904) 291-5561
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Ms. Tina Swathwood
Title
Finance Director
Phone
(904) 278-5644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0410AD31700 FL Primary

Addresses

Primary practice location

3292 County Road 220
Middleburg, FL 32068-4357

Mailing address

41 Knight Boxx Rd
Orange Park, FL 32065-7305
Phone (043) 852-1359

Other identifiers 1

IdentifierTypeStateIssuer
060411900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040403000094 FL Part B Supplier - Clinic/Group Practice 7911990353 Receives reassigned benefits from 9 practitioners
Practice locations: Middleburg, FL; Ocala, FL

National Provider Directory

National Provider Directory
Tax ID family
Clay Cnty Behavioral HL9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1275619488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KNIGHT BOXX RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657305",
            "telephone_number": "043-852-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 COUNTY ROAD 220",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684357",
            "telephone_number": "904-291-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY BEHAVIORAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "SWATHWOOD",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "904-278-5644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0410AD31700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060411900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.