NPIMap

Organization Active NPI

St Johns County Board of County Commissioners

  • Mental Illness Community Based Residential Treatment Facility
  • St Augustine, FL
National Provider Identifier
1326037813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS
Practice address
1955 US Highway 1 S
Suite C-2
St Augustine, FL 32086-3708
Phone
(904) 825-5048
Fax
(904) 825-6824
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Colavito, PHD
Title
Health & Human Services Director
Phone
(904) 823-4430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1955 US Highway 1 S
Suite C-2
St Augustine, FL 32086-3708

Mailing address

1955 US Highway 1 S
Suite C-2
St Augustine, FL 32086-3708
Phone (904) 825-5048

Other names 1

  • ST JOHNS COUNTY MENTAL HEALTH DEPARTMENT Other name

National Provider Directory

National Provider Directory
Tax ID family
St Johns County Board of County Commissioners4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326037813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 US HIGHWAY 1 S",
            "address_2": "SUITE C-2",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863708",
            "telephone_number": "904-825-5048",
            "fax_number": "904-825-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 US HIGHWAY 1 S",
            "address_2": "SUITE C-2",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863708",
            "telephone_number": "904-825-5048",
            "fax_number": "904-825-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLAVITO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "HEALTH & HUMAN SERVICES DIRECTOR",
        "authorized_official_telephone_number": "904-823-4430",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOHNS COUNTY MENTAL HEALTH DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.