CLAY BEHAVIORAL HEALTH CENTER INC (NPI# 1265518476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265518476 |
| Entity Type | Organization |
| Organization Name | CLAY BEHAVIORAL HEALTH CENTER INC |
| Practice Address |
3292 County Road 220 Middleburg FL 32068-4357 |
| Mailing Address |
1726 Kingsley Ave Ste 2 Orange Park FL 32073-4411 |
| Practice Telephone | 9042915571 |
| Mailing Telephone | 9042785644 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | MS. TINA MARIE SWATHWOOD (FINANCE DIRECTOR) |
| Authorized Official Telephone | 9042785644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0410AD31700 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275619488 | Clay Behavioral Health Center Inc | Community/Behavioral Health | 3292 County Road 220, Middleburg, FL 32068-4357 | 2006-10-31 |
| 1437230398 | Clay Behavioral Health Center Inc | Community/Behavioral Health | 3292 County Road 220, Middleburg, FL 32068-4357 | 2006-10-18 |
| Street Address |
3292 COUNTY ROAD 220 |
| City | MIDDLEBURG |
| State | FL |
| Zip Code | 32068-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089782 | Clay Behavioral Health Center, Inc. | Case Management | 3292 County Road 220, Middleburg, FL 32068-4357 | 2005-08-02 |
| 1760089320 | Amy Wilson | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2020-10-07 |
| 1972142057 | Katherine Gillmor | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2020-01-06 |
| 1114568912 | Amanda Maria Larson | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-10-02 |
| 1366093247 | Concetta A. Hillman | Social Worker | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-09-23 |
| 1346897683 | Kimberley Robertson | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-08-21 |
| 1104480607 | Yolanda Planas | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-04-30 |
| 1104326453 | Michelle Nicole Fiallo | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2018-02-13 |
| 1063922276 | Tabatha Melcolm | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2017-10-03 |
| 1083138796 | Emma Irwin | Social Worker | 3292 County Road 220, Middleburg, FL 32068-4357 | 2017-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084174 | Christopher Littles | Technician | 3122 Angora Bay Dr, Middleburg, FL 32068 | 2018-12-16 |
| 1730685157 | Children's Express Care Clinic | Pediatrics | 430 College Drive, Suite 100-102, Middleburg, FL 32068 | 2018-04-04 |
| 1588162762 | Lp Sw Jacksonville, LLC | Skilled Nursing Facility | 1280 Henley Road, Middleburg, FL 32068 | 2018-01-23 |
| 1396264982 | Michael Jessie Visita Roberts | Physical Therapy Assistant | 1648 St. Vincents Way, 100b, Middleburg, FL 32068 | 2017-09-14 |
| 1093239915 | Kevia Hart | In Home Supportive Care | 2718 Tina Lane, Middleburg, FL 32068 | 2017-08-02 |
| 1366899825 | Serena Burr | Midwife | 1986 Friendly Pl, Middleburg, FL 32068 | 2016-05-15 |
| 1932573672 | Jamie Dietrich | Physical Therapist | 2583-3 County Road 220, Middleburg, FL 32068 | 2015-11-18 |
| 1154791614 | Katherine Wenger | Physical Therapist | 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 | 2015-09-28 |
| 1699024240 | Amanda Copeland | Speech-Language Pathologist | 2823 Woodstone Dr., Middleburg, FL 32068 | 2012-08-29 |
| 1194089243 | Good Samaritan Home Companion Services, Inc. | In Home Supportive Care | 3689 Main Street, Middleburg, FL 32068 | 2012-07-03 |
| Find all providers in zip 32068 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801029269 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 848 Sale Barn Rd, Middleburg, PA 17842 | 2009-09-01 |
| 1982880134 | Pa Treatment & Healing | Community/Behavioral Health | 462 Furnace Rd, Middleburg, PA 17842-9152 | 2008-01-18 |
| 1275619488 | Clay Behavioral Health Center Inc | Community/Behavioral Health | 3292 County Road 220, Middleburg, FL 32068-4357 | 2006-10-31 |
| 1437230398 | Clay Behavioral Health Center Inc | Community/Behavioral Health | 3292 County Road 220, Middleburg, FL 32068-4357 | 2006-10-18 |
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|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG |
| Zip Code | 32068 |
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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.