Center for a Healthy Mind and Wellbeing LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME108768 Issued in FL

Legal business name

CENTER FOR A HEALTHY MIND AND WELLBEING LLC

Practice address

6817 Southpoint Pkwy Ste 1301
Jacksonville, FL 32216-6297

Phone

(904) 527-8777

Fax

(904) 379-5744

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Ginger Hudnall

Title

Office Administrator

Phone

(904) 527-8777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4603/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louise Ann Axelberg

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1124074729
  Medicare reassignment NPD
• Marcus Decarvalho, M.D.

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1427213727
  Medicare reassignment NPD

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1710243571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 WELLS RD",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736799",
            "telephone_number": "904-272-0043",
            "fax_number": "904-272-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166297",
            "telephone_number": "904-527-8777",
            "fax_number": "904-379-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR A HEALTHY MIND AND WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "HUDNALL",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-527-8777"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME108768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celloscope Inc
• Steven Celmins, DO
• Brian Gerard Celso, PHD.
• Annalie Sebrio Celzo, LPC
• Brandon Centeno, ATC, LAT
• Center for Aging and Rehabilitation of Jacksonville Inc
• Center for Health and Wellness
• Center for Medicine and Psychiatry
• Center Imt Jacksonville FL, P.a.
• Centerstone of Tennesse Inc.

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.