ANTIONETTE JARSHAWN MILLER-MAULTSBY (NPI# 1013573039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013573039 |
Entity Type | Individual |
Full Name | ANTIONETTE JARSHAWN MILLER-MAULTSBY |
Practice Address |
4401 Will Scarlet Rd Jacksonville FL 32208-1154 |
Practice Telephone | 9043520066 |
Mailing Telephone | 9043520066 |
Enumeration Date | 2019-05-15 |
Last Update Date | 2019-05-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
103TH0100X | FL | Behavioral Health & Social Service Providers |
Street Address |
4401 WILL SCARLET RD |
City | JACKSONVILLE |
State | FL |
Zip Code | 32208-1154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
Find all providers in zip 32208 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316581101 | Melissa Singleton | Psychologist | 4728 Lexington Ave, Jacksonville, FL 32210-3218 | 2019-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
1538785837 | Change The Narrative Counseling LLC | Psychologist | 20417 Berrywood Ln, Tampa, FL 33647-3476 | 2020-06-23 |
1689210791 | Alexis Vaughn | Psychologist | 203 Ne Montana St, Lake City, FL 32055-2183 | 2019-11-24 |
1407408123 | R Ramos Inc. | Psychologist | 2285 St R 580, S-210, Clearwater, FL 33763-1111 | 2019-07-12 |
1215599766 | Stephanie Rita Mcdonough | Psychologist | 1600 Sw Archer Rd Fl Roomg901, Gainesville, FL 32610-3003 | 2019-07-05 |
1376002063 | Lakeyta Nacole Givens | Psychologist | 514 Joan St, Macclenny, FL 32063-2618 | 2019-03-13 |
1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
1295280428 | Psych Aid Corp | Psychologist | 1300 Nw 84th Ave, Doral, FL 33126-1500 | 2016-08-17 |
1952855082 | Day By Day Wellness Inc | Psychologist | 207 Blue Heron Blvd E, Suite 203, Riviera Beach, FL 33404-4560 | 2016-08-05 |
1114384377 | Ivonne Lopez | Psychologist | 15182 Loch Island Drive East, Miami Lakes, FL 33014 | 2016-01-19 |
Find all providers with the same taxonomy |
City | JACKSONVILLE |
Zip Code | 32208 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.