NPIMap

Organization Active NPI

Simple Path Mental Health Inc

  • Adult Mental Health Clinic/Center
  • Neptune Beach, FL
National Provider Identifier
1508458076
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SIMPLE PATH MENTAL HEALTH INC
Practice address
700 3Rd St Ste 202
Neptune Beach, FL 32266-5082
Phone
(904) 635-6081
NPI assigned
Feb 6, 2021
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Elina Chernyak, DO
Title
President
Phone
(970) 306-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

700 3Rd St Ste 202
Neptune Beach, FL 32266-5082

Mailing address

1015 Atlantic Blvd Ste 214
Atlantic Beach, FL 32233-3313
Phone (907) 306-2737

National Provider Directory

National Provider Directory

Locations

2377 Dunn Ave
Ste 2
Jacksonville, FL 32218

4752 Blanding Blvd
Jacksonville, FL 32210

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1508458076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ATLANTIC BLVD STE 214",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333313",
            "telephone_number": "907-306-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 3RD ST STE 202",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665082",
            "telephone_number": "904-635-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE PATH MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-05-18",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "CHERNYAK",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-306-2737",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.