Individual provider Active NPI

Brandt Matthew Schlegel

  • Behavior Technician
  • Jacksonville, FL
National Provider Identifier
1891574539
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9000 Southside Blvd BLDG 900
Jacksonville, FL 32256-0791
Phone
(904) 732-4343
NPI assigned
Sep 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

9000 Southside Blvd BLDG 900
Jacksonville, FL 32256-0791

Mailing address

9000 Southside Blvd BLDG 900
Jacksonville, FL 32256-0791
Phone (904) 732-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville School for Autism CurrentSince Jan 19, 2025 Accepting new patients
Jacksonville Autism Clinic LLC CurrentSince Jan 19, 2025 Accepting new patients
Bloom Behavioral Solutions, Inc. PastSince Jan 19, 2025 Accepting new patients
Bloom Behavioral Solutions PastSince Jan 19, 2025 Accepting new patients

Locations

9000 Southside Blvd
Unit 900
Jacksonville, FL 32256
Phone (904) 732-4343

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1891574539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SOUTHSIDE BLVD BLDG 900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560791",
            "telephone_number": "904-732-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SOUTHSIDE BLVD BLDG 900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560791",
            "telephone_number": "904-732-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEGEL",
        "first_name": "BRANDT",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "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 Jan 17, 2025; 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.