NPIMap

Organization Active NPI

Clay Behavioral Health Center Inc

  • Primary Care Clinic/Center
  • Middleburg, FL
National Provider Identifier
1437230398
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
060411902 Issued in FL
Legal business name
CLAY BEHAVIORAL HEALTH CENTER INC
Practice address
3292 County Road 220
Middleburg, FL 32068-4357
Phone
(904) 291-5561
NPI assigned
Oct 18, 2006
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Ms. Tina Marie Swathwood
Title
Finance Director
Phone
(904) 278-5644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 060411902 FL Primary
Community/Behavioral Health Agency 251S00000X 0410AD931700 FL

Addresses

Primary practice location

3292 County Road 220
Middleburg, FL 32068-4357

Mailing address

41 Knight Boxx Rd
Orange Park, FL 32065-7305
Phone (904) 385-2135

Other identifiers 2

IdentifierTypeStateIssuer
X0526OtherFLBCBS GRP
060411902MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
C C B H C10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

41 Knight Boxx Rd
Orange Park, FL 32065
Phone (904) 291-5561

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1437230398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KNIGHT BOXX RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657305",
            "telephone_number": "904-385-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 COUNTY ROAD 220",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684357",
            "telephone_number": "904-291-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY BEHAVIORAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "SWATHWOOD",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "904-278-5644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "060411902",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0410AD931700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "X0526",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060411902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.