Organization Active NPI

Rebecca Farinas, M.D. LLC

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1942650593
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME96794 Issued in FL
Legal business name
REBECCA FARINAS, M.D. LLC
Practice address
7545 Centurion Pkwy
#302
Jacksonville, FL 32256-0579
Phone
(904) 997-7776
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Rebecca Farinas, M.D.NPI 1770694259
Title
Physician/Owner
Phone
(904) 997-7776

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME96794 FL Primary

Addresses

Primary practice location

7545 Centurion Pkwy
#302
Jacksonville, FL 32256-0579

Mailing address

7545 Centurion Pkwy
#302
Jacksonville, FL 32256-0579
Phone (904) 997-7776

Other identifiers 4

IdentifierTypeStateIssuer
2479333OtherCIGNA BEHAVIORAL HEALTH, INC.
600380OtherFLBEACON HEALTH OPTIONS (FORMERLY VALUE OPTIONS, INC.)
19352OtherFLTRICARE SOUTH BEHAVIORAL NETWORK
60054OtherAETNA

National Provider Directory

National Provider Directory

Locations

7545 Centurion Pkwy
Ste 302
Jacksonville, FL 32256
Phone (904) 306-2273

Practitioners & affiliated clinicians

Practitioners 1

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": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1942650593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY",
            "address_2": "#302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560579",
            "telephone_number": "904-997-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 CENTURION PKWY",
            "address_2": "#302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560579",
            "telephone_number": "904-997-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA FARINAS, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "FARINAS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "904-997-7776",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME96794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH, INC.",
            "identifier": "2479333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS (FORMERLY VALUE OPTIONS, INC.)",
            "identifier": "600380",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH BEHAVIORAL NETWORK",
            "identifier": "19352",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": null
        }
    ],
    "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 Jun 14, 2016; 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.