Behavioral Health of North Florida PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY 8505 Issued in FL

Legal business name

BEHAVIORAL HEALTH OF NORTH FLORIDA PLLC

Practice address

3733 University Blvd W Ste 214
Jacksonville, FL 32217-2128

Phone

(904) 437-5176

Fax

(904) 438-3175

NPI assigned

Sep 30, 2013

Last updated

Jun 21, 2019By 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

Dr. Jonathan Drew GrossNPI 1174880959

Title

Director

Phone

(904) 437-5176

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Drew Gross, PSY.D.

  • Clinical Neuropsychologist
  • Jacksonville, FL
  • NPI 1174880959
  NPD Authorized official

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1356778898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W STE 214",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172128",
            "telephone_number": "904-437-5176",
            "fax_number": "904-438-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W STE 214",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172128",
            "telephone_number": "904-437-5176",
            "fax_number": "904-438-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH OF NORTH FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-437-5176",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 8505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Begley, A.R.N.P.
• Lisa Beh, ARNP
• Francis Christopher Behan, D.O.
• Behavior Builders, LLC
• Behavioral Arts & Research Clinic L
• Behavioral Healthcare Inc
• Behavioral Lane
• Behavioral Solutions Consulting, Inc.
• Faramarz Behzadi, MD
• Alexandra Beier, DO

• Clinical Neuropsychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.