Northeast Floida State Hospital

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

ME27968 Issued in FL

Legal business name

NORTHEAST FLOIDA STATE HOSPITAL

Practice address

1820 Wild Grape LN
Orange Park, FL 32003-7204

Phone

(904) 269-2606

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Prof. Toribio M. Duhaylungsod, M.D.NPI 1538329719

Title

Senior Physician Psychiatrist

Phone

(904) 259-6211

Specialties & licenses 1

Addresses

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.

• Toribio M Duhaylungsod, M.D.

  • Psychiatry Physician
  • Macclenny, FL
  • NPI 1538329719
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629185277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WILD GRAPE LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037204",
            "telephone_number": "904-269-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WILD GRAPE LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037204",
            "telephone_number": "904-269-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FLOIDA STATE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUHAYLUNGSOD",
        "authorized_official_first_name": "TORIBIO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SENIOR PHYSICIAN PSYCHIATRIST",
        "authorized_official_telephone_number": "904-259-6211",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "ME27968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Florida Health Care Inc (Back Pain Institute of North Florida)
• North Florida Hospitalists LLC
• North Florida Medical Transportation Inc
• North Florida Physical Medicine, Inc.
• North Florida Therapy Associates, LLC
• Northeast Florida Eye Care Associates
• Northeast Florida Plastic Surgery
• Northeast Florida Primary Care Clinic
• Northeast Florida Residential Care Facility Inc
• Northland Hearing Centers, Inc. (US Hearing Centers)

• Psychiatric Hospital in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Psychiatric Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.