Organization Active NPI

Paramount Wellness Collaborative, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
National Provider Identifier
1790584308
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Shanique Ampiah, MDNPI 1295152510
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.