NPIMap

Organization Active NPI

Florida Department of Children and Families

Doing business as NortheastFloridaStateHospitalCommunityBehavioralHealthcareServices

  • Community/Behavioral Health Agency
  • Macclenny, FL
National Provider Identifier
1558445288
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Doing business as
NortheastFloridaStateHospitalCommunityBehavioralHealthcareServices
Practice address
84 W Lowder St Ste C
Macclenny, FL 32063-2638
Phone
(904) 259-4671
Fax
(904) 259-5187
NPI assigned
Oct 25, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIESAs reported in NPPES

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
Mrs. Tonia Kay Branch, LMHC,NCC,CAP
Title
Operations Consultant Manager
Phone
(904) 259-4671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

84 W Lowder St Ste C
Macclenny, FL 32063-2638

Mailing address

84 W Lowder St Ste C
Macclenny, FL 32063-2638
Phone (904) 259-4671

Other names 1

  • NortheastFloridaStateHospitalCommunityBehavioralHealthcareServices Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Department of Children and Families9 organizations share this tax ID, including this one
Part of
Florida Department of Children and Families

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

84 W Lowder St
Ste C
Macclenny, FL 32063
Phone (904) 259-4671

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558445288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 W LOWDER ST STE C",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632638",
            "telephone_number": "904-259-4671",
            "fax_number": "904-259-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W LOWDER ST STE C",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632638",
            "telephone_number": "904-259-4671",
            "fax_number": "904-259-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OPERATIONS CONSULTANT MANAGER",
        "authorized_official_telephone_number": "904-259-4671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC,NCC,CAP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NortheastFloridaStateHospitalCommunityBehavioralHealthcareServices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macclenny, 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.