Independence Youth Center

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

INDEPENDENCE YOUTH CENTER

Practice address

14797 Philips Hwy Ste 103
Jacksonville, FL 32256-3746

Phone

(904) 515-3735

Fax

(904) 467-3422

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Jana Sanford-HellerNPI 1235743196

Title

Owner

Phone

(904) 515-3735

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jana Sanford-Heller

  • Occupational Therapist
  • St Augustine, FL
  • NPI 1235743196

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1821725060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14797 PHILIPS HWY STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14797 PHILIPS HWY STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563746",
            "telephone_number": "904-515-3735",
            "fax_number": "904-467-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "SANFORD-HELLER",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-515-3735"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Curtis Inclan
• Inclinic Physio
• Gary Incremona
• Daniel J Indelicato, MD
• Natalie Arce Indelicato, PH.D.
• Independent Feeding Device, LLC (Desin, LLC)
• Independent Pediatricians of North FL Inc
• Indian Rehabilitation Center, Inc
• Carolyn Indianos, MD
• Indigo Art Center Inc

• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.