Organization Active NPI

Your Way Pediatrics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponte Vedra, FL
National Provider Identifier
1285485698
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YOUR WAY PEDIATRICS
Practice address
360 Town Plaza Ave Ste 330
Ponte Vedra, FL 32081-5175
Phone
(904) 419-9086
Fax
(864) 448-1482
NPI assigned
Apr 1, 2024
Organization subpart
Yes
Parent organization
YOUR WAY PEDIATRICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mrs. Christina M Ralko, APRN
Title
Nurse Practitioner
Phone
(313) 629-1552

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

360 Town Plaza Ave Ste 330
Ponte Vedra, FL 32081-5175

Mailing address

360 Town Plaza Ave Ste 330
Ponte Vedra, FL 32081-5175
Phone (904) 419-9086

National Provider Directory

National Provider Directory
Part of
Your Way Pediatrics

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1285485698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 TOWN PLAZA AVE STE 330",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815175",
            "telephone_number": "904-419-9086",
            "fax_number": "864-448-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOWN PLAZA AVE STE 330",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815175",
            "telephone_number": "904-419-9086",
            "fax_number": "864-448-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WAY PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUR WAY PEDIATRICS",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "RALKO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "313-629-1552",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.