ANTIONETTE JARSHAWN MILLER-MAULTSBY


Address: 4401 Will Scarlet Rd, Jacksonville, FL 32208-1154
Phone: 9043520066

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
103TH0100X FL Behavioral Health & Social Service Providers

Office Location

Street Address 4401 WILL SCARLET RD
City JACKSONVILLE
State FL
Zip Code 32208-1154

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1841676558 Elizabeth Ann Miller Social Worker 1255 Lila Ave, Jacksonville, FL 32208 2015-08-04
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1356776348 Top of The Line Mobile Service Durable Medical Equipment & Medical Supplies 2252 4th Avenue, Jacksonville, FL 32208 2013-09-09
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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316581101 Melissa Singleton Psychologist 4728 Lexington Ave, Jacksonville, FL 32210-3218 2019-11-05

Providers in the same taxonomy and state

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
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Competitor

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City JACKSONVILLE
Zip Code 32208

Improve Information

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Dataset Information

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.

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