Organization Active NPI

Newlife Addictions Program Inc

  • Addiction Medicine (Family Medicine) Physician
  • Jacksonville, FL
National Provider Identifier
1538302609
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
NEWLIFE ADDICTIONS PROGRAM INC
Practice address
3560 Cardinal Point Dr
Suite 102
Jacksonville, FL 32257-9235
Phone
(904) 296-1116
Fax
(904) 296-1467
NPI assigned
Apr 20, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
William P McPhilamy, PHD
Title
President
Phone
(904) 296-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X Primary

Addresses

Primary practice location

3560 Cardinal Point Dr
Suite 102
Jacksonville, FL 32257-9235

Mailing address

3560 Cardinal Point Dr
Suite 102
Jacksonville, FL 32257-9235
Phone (904) 296-1116

Other names 1

  • Healthquest Institute & Wellness Center, Inc. Other name

National Provider Directory

National Provider Directory

Locations

3560 Cardinal Point Dr
Ste 102
Jacksonville, FL 32257
Phone (904) 296-1116

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1538302609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 CARDINAL POINT DR",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579235",
            "telephone_number": "904-296-1116",
            "fax_number": "904-296-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 CARDINAL POINT DR",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579235",
            "telephone_number": "904-296-1116",
            "fax_number": "904-296-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWLIFE ADDICTIONS PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "MCPHILAMY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-296-1116",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthquest Institute & Wellness Center, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.