Waves of Hope Eating Disorder Care Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WAVES OF HOPE EATING DISORDER CARE CENTER LLC

Practice address

4300 Marsh Landing Blvd
Jacksonville Beach, FL 32250-1416

Phone

(732) 887-7136

NPI assigned

Jan 23, 2024

Last updated

Jan 23, 2024By 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

Eli Fisch

Title

Principal

Phone

(732) 887-7136

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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.

• Sara Buchanan, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1275371254
  NPD
• Alyssa Maria Godek

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1083452072
  NPD
• Alex Lee Hinderscheid, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1417840927
  NPD
• Anita Diaz, RDN, LDN

  • Registered Dietitian
  • Jacksonville, FL
  • NPI 1851129175
  NPD (past)

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1396506655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CROSS ST STE 203",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015572",
            "telephone_number": "732-887-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501416",
            "telephone_number": "732-887-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF HOPE EATING DISORDER CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "732-887-7136"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walters Chiropractic LLC
• Timothy Daniel Walters II, PT
• Michael Warhurst, D.O.
• Sarah Waters, RN, CCRN
• Spencer Watson, PHARMD
• Alora Dawn Weber, OTR/L
• Alexandra Weinberg, DPT
• Annelie McCrorie Welch, LCSW
• West Point Optical Group
• Michele Renee Whitehead, P.T.

• Adult Mental Health Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.