NPIMap

Organization Active NPI

My Path Mental Health Center LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1316206725
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MY PATH MENTAL HEALTH CENTER LLC
Practice address
822 A1A N
Suite 310
Jacksonville, FL 32082-3260
Phone
(404) 784-7005
NPI assigned
May 7, 2012
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Mrs. Karen H00
Title
Ceo
Phone
(404) 784-7005

Specialties & licenses 1

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

Addresses

Primary practice location

822 A1A N
Suite 310
Jacksonville, FL 32082-3260

Mailing address

822 A1A N
Suite 310
Ponte Vedra Beach, FL 32082-3260
Phone (404) 784-7005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1316206725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 A1A N",
            "address_2": "SUITE 310",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823260",
            "telephone_number": "404-784-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 A1A N",
            "address_2": "SUITE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "320823260",
            "telephone_number": "404-784-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PATH MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "H00",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-784-7005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.