NPIMap

Organization Active NPI

Jsa Clinical Group, Inc.

  • Developmental Therapist
  • Jacksonville, FL
National Provider Identifier
1639509359
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
JSA CLINICAL GROUP, INC.
Doing business as
JSA Clinical Group, Inc.
Practice address
Jsa Clinical Group
9000 Cypress Green Drive
Jacksonville, FL 32256
Phone
(904) 732-4343
Fax
(904) 732-4344
NPI assigned
Nov 15, 2013
Last updated
Aug 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Mrs. Helen Michelle Dunham
Title
President
Phone
(904) 732-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

Jsa Clinical Group
9000 Cypress Green Drive
Jacksonville, FL 32256

Mailing address

Jsa Clinical Group
9000 Cypress Green Drive
Jacksonville, FL 32256
Phone (904) 732-4343

Other names 1

  • JSA Clinical Group, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jacksonville School for Autism2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9000 Cypress Green Dr
Jacksonville, FL 32256
Phone (904) 732-4343

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1639509359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JSA CLINICAL GROUP",
            "address_2": "9000 CYPRESS GREEN DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-732-4343",
            "fax_number": "904-732-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JSA CLINICAL GROUP",
            "address_2": "9000 CYPRESS GREEN DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-732-4343",
            "fax_number": "904-732-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSA CLINICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-732-4343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JSA Clinical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JSA Clinical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2019; 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.