Organization Active NPI

Greenfield Center Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1952484438
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GREENFIELD CENTER INC
Practice address
4250 Lakeside Dr Ste 213
Jacksonville, FL 32210-3369
Phone
(904) 389-3784
Fax
(904) 389-4618
NPI assigned
Oct 20, 2006
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Mrs. Jay Higham
Title
Ceo
Phone
(214) 365-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X FL Primary

Addresses

Primary practice location

4250 Lakeside Dr Ste 213
Jacksonville, FL 32210-3369

Mailing address

5001 Spring Valley Rd Ste 600E
Dallas, TX 75244-8217
Phone (214) 365-6100

Other identifiers 1

IdentifierTypeStateIssuer
0416AD564100OtherFLFL DEPT OF FAMILIES AND C

Other names 1

  • Greenfield Center Other name

National Provider Directory

National Provider Directory

Locations

3 Shircliff Way
Ste 640
Jacksonville, FL 32204
Phone (904) 389-3784

4250 Lakeside Dr
Ste 213
Jacksonville, FL 32210
Phone (904) 389-3784

Practitioners & affiliated clinicians

Practitioners 2

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1952484438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD STE 600E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448217",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 LAKESIDE DR STE 213",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103369",
            "telephone_number": "904-389-3784",
            "fax_number": "904-389-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPT OF FAMILIES AND C",
            "identifier": "0416AD564100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Greenfield Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 27, 2024; 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.