Organization Active NPI

Florida Childrens Institute

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, FL
National Provider Identifier
1811380413
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
H140002871873 Issued in FL
Legal business name
FLORIDA CHILDRENS INSTITUTE
Practice address
8777 San Jose Blvd
Suite 801
Jacksonville, FL 32217-4213
Phone
(904) 374-6403
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Catherine Baker Simms, MS, BCBANPI 1912253402
Title
President
Phone
(904) 374-6403

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
Developmentally Disabled Services Day Training Agency 251C00000X H140002871873 FL Primary

Addresses

Primary practice location

8777 San Jose Blvd
Suite 801
Jacksonville, FL 32217-4213

Mailing address

8777 San Jose Blvd
Suite 801
Jacksonville, FL 32217-4213
Phone (904) 374-6403

National Provider Directory

National Provider Directory
Tax ID family
Florida Children'S Institute2 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

8777 San Jose Blvd
Ste 801
Jacksonville, FL 32217
Phone (904) 374-6403

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1811380413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD",
            "address_2": "SUITE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174213",
            "telephone_number": "904-374-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD",
            "address_2": "SUITE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174213",
            "telephone_number": "904-374-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CHILDRENS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-374-6403",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "H140002871873",
            "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 Aug 5, 2015; 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.