Active NPI
Telepsychiatric Bridge Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville Beach, FL
National Provider Identifier
1447776570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 9336567
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1669896296
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.