Children and Adolescent Behavioral Health Group PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC

Practice address

12220 Atlantic Blvd Ste 130
Jacksonville, FL 32225-5826

Phone

(352) 612-2632

NPI assigned

Apr 20, 2022

Last updated

Apr 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reeva Morton, PH.D., BCBA-D

Title

Board Certified Behavior Analyst

Phone

(443) 996-9471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1285378844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 ATLANTIC BLVD STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 ATLANTIC BLVD STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255826",
            "telephone_number": "352-612-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "REEVA",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "443-996-9471",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Guidance Center, Inc.
• Child Guidance Center, Inc.
• Child Guidance Center, Inc.
• David Omer Childers Jr., M.D.
• Tommy Kenneth Childers, PHD, LMHC
• Children First Pediatrics, PA
• Children's Express Care Clinic (Excel Pediatrics)
• Children's Health Associates
• Children's Home Society
• Children's Home Society of Florida

• Adolescent and Children Mental Health Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.