Organization Active NPI

Positive Development, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1558863787
Registry record updated Mar 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH11373 Issued in FL
Legal business name
POSITIVE DEVELOPMENT, LLC
Practice address
3840 Belfort Rd Ste 302
Jacksonville, FL 32216-8210
Phone
(904) 516-0913
NPI assigned
Mar 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2018

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

Authorized official

Name
Erica Whitfield
Title
Owner
Phone
(229) 296-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH11373 FL Primary

Addresses

Primary practice location

3840 Belfort Rd Ste 302
Jacksonville, FL 32216-8210

Mailing address

3840 Belfort Rd Ste 302
Jacksonville, FL 32216-8210
Phone (904) 516-0913

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520121600000",
    "number": "1558863787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 BELFORT RD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168210",
            "telephone_number": "904-516-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BELFORT RD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168210",
            "telephone_number": "904-516-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-04",
        "last_updated": "2018-03-04",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-296-0626"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH11373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 4, 2018; 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.