Success TMS North Florida, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SUCCESS TMS NORTH FLORIDA, LLC

Practice address

350 Corporate Way Ste 100
Orange Park, FL 32073-2853

Phone

(954) 947-3340

Fax

(561) 413-5627

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Joanne Telmosse

Title

Practice Manager

Phone

(954) 947-3340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1508488545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CORPORATE WAY STE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732853",
            "telephone_number": "954-947-3340",
            "fax_number": "561-413-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CORPORATE WAY STE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732853",
            "telephone_number": "954-947-3340",
            "fax_number": "561-413-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6817 Southpoint Pkwy Ste 1504",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322166298",
            "country_code": "US",
            "telephone_number": "904-236-5813",
            "fax_number": "561-413-5627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Granada Blvd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321748157",
            "country_code": "US",
            "telephone_number": "386-463-0066",
            "fax_number": "516-413-5627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUCCESS TMS NORTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "TELMOSSE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "954-947-3340"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.