Organization Active NPI

Telepsychiatric Bridge Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville Beach, FL
National Provider Identifier
1447776570
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
9336567 Issued in FL
Legal business name
TELEPSYCHIATRIC BRIDGE SERVICES
Practice address
4300 Marsh Landing Blvd
Suite #203
Jacksonville Beach, FL 32250
Phone
(904) 686-1512
Fax
(904) 686-2354
NPI assigned
Aug 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Margaret Anne Parnell, ARNP
Title
Pmhnp-BC
Phone
(904) 686-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 9336567 FL Primary

Addresses

Primary practice location

4300 Marsh Landing Blvd
Suite #203
Jacksonville Beach, FL 32250

Mailing address

4300 Marsh Landing Blvd Ste 203
Jacksonville Beach, FL 32250-1420
Phone (904) 686-1512

National Provider Directory

National Provider Directory

Locations

4300 Marsh Landing Blvd
Ste 203
Jacksonville Beach, FL 32250
Phone (904) 686-1512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447776570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 203",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501420",
            "telephone_number": "904-686-1512",
            "fax_number": "904-686-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD",
            "address_2": "SUITE #203",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-686-1512",
            "fax_number": "904-686-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEPSYCHIATRIC BRIDGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "904-686-1512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "9336567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.