Active NPI
Paramount Wellness Collaborative, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PARAMOUNT WELLNESS COLLABORATIVE, INC
- Practice address
- 13241 Bartram Park Blvd Unit 117
Jacksonville, FL 32258-5232 - Phone
- (904) 203-4700
- Fax
- (844) 329-0848
- NPI assigned
- Mar 8, 2025
- Last updated
- May 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanique Ampiah, MD
- Title
- President/Founder/Owner
- Phone
- (561) 312-6698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
13241 Bartram Park Blvd Unit 117
Jacksonville, FL 32258-5232
Mailing address
13241 Bartram Park Blvd Unit 117
Jacksonville, FL 32258-5232
Phone (904) 203-4700
National Provider Directory
National Provider DirectoryLocations
1629 Race Track Rd
Ste 102
St Johns, FL 32259
Phone (904) 204-2433
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.
-
- Child & Adolescent Psychiatry Physician
- Jacksonville, FL
- NPI 1295152510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1790584308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13241 BARTRAM PARK BLVD UNIT 117",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585232",
"telephone_number": "904-203-4700",
"fax_number": "844-329-0848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13241 BARTRAM PARK BLVD UNIT 117",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585232",
"telephone_number": "904-203-4700",
"fax_number": "844-329-0848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAMOUNT WELLNESS COLLABORATIVE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-08",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "AMPIAH",
"authorized_official_first_name": "SHANIQUE",
"authorized_official_title_or_position": "PRESIDENT/FOUNDER/OWNER",
"authorized_official_telephone_number": "561-312-6698",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"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 May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.