CHILD GUIDANCE CENTER, INC. (NPI# 1437171410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437171410 |
| Entity Type | Organization |
| Organization Name | CHILD GUIDANCE CENTER, INC. |
| Practice Address |
5776 Saint Augustine Rd Jacksonville FL 32207-8030 |
| Practice Telephone | 9044484700 |
| Practice Fax Number | 9044484717 |
| Mailing Telephone | 9044484700 |
| Mailing Fax Number | 9044484717 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-07-20 |
| Authorized Official Name | MR. GUY PARKER (CFO) |
| Authorized Official Telephone | 9044484700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060404607 | 05 | |
| FL | 060404604 | 05 | |
| FL | 060404603 | 05 | |
| FL | 060404613 | 05 | |
| FL | 060404600 | 05 | |
| FL | 060404605 | 05 | |
| FL | 060404606 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583337 | Child Guidance Center, Inc. | Community/Behavioral Health | 3551 Camino Mira Costa, Suite T, San Clemente, CA 92672 | 2018-06-27 |
| 1609165497 | Child Guidance Center, Inc. | Community/Behavioral Health | 27451 Los Altos, Suite 240, Mission Viejo, CA 92691-6331 | 2011-04-01 |
| 1942465182 | Child Guidance Center, Inc. | Case Management | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2008-07-28 |
| 1740300128 | Child Guidance Center, Inc. | Community/Behavioral Health | 6301 Beach Blvd, Suite 245, Buena Park, CA 90621-2840 | 2007-03-30 |
| 1003936311 | Child Guidance Center, Inc. | Community/Behavioral Health | 680 Langsdorf Dr, Suite 200, Fullerton, CA 92831-3702 | 2007-03-30 |
| 1033238944 | Child Guidance Center, Inc. | Community/Behavioral Health | 525 Cabrillo Park Dr, Suite 300, Santa Ana, CA 92701-5017 | 2007-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHILD GUIDANCE CENTER, INC. | 31 Lafayette St., Schenectady, New York 12305 |
| Street Address |
5776 SAINT AUGUSTINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775929 | Maria Del Carmen Zeinoun | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-09-21 |
| 1316551856 | Andrea Gabriela Mendez-brown | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-09-02 |
| 1609480383 | Jake Swanson | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-09-01 |
| 1578176707 | Amanda Rose Balznao | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-08-27 |
| 1184236465 | Danielle Adelstein | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-08-19 |
| 1700494317 | Maia Cochran | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-07-20 |
| 1265058952 | Princes Mccarther | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-06-18 |
| 1497389217 | Leslie Roditti | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-03-02 |
| 1871124982 | Jennifer Kane | Marriage & Family Therapist | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-01-28 |
| 1174162226 | Erica Nichole Clagg | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237182 | Anchor Life Clinic | Clinic/Center | 9654 Ragsdale Dr, Jacksonville, FL 32257-6121 | 2020-08-28 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1669019212 | Cass County Mental Health | Clinic/Center | 60 E Central Park Plz, Jacksonville, IL 62650-2071 | 2019-12-03 |
| 1962974766 | Mara's Lighthouse Counseling Center, LLC | Clinic/Center | 6015 Morrow St E Ste 109, Jacksonville, FL 32217-2125 | 2018-12-19 |
| 1417428483 | Recovery Innovations Inc | Clinic/Center | 215b Memorial Dr, Jacksonville, NC 28546-6333 | 2018-12-17 |
| 1386131092 | Renascence Behavioral Healthcare Group, Inc | Clinic/Center | 8553 Argyle Business Loop Ste 1, Jacksonville, FL 32244-6604 | 2018-04-18 |
| 1093231987 | Aspire Psychiatric Services, LLC | Clinic/Center | 625 N 1st St Ste C, Jacksonville, AR 72076-4138 | 2017-08-22 |
| 1598295701 | North Florida Learning & Behavioral Health, LLC | Clinic/Center | 8825 Perimeter Park Blvd Ste 302, Jacksonville, FL 32216-1112 | 2017-06-20 |
| 1700179868 | Chemical Dependency Counseling, Inc. | Clinic/Center | 300 W Adams St Ste 240, Jacksonville, FL 32202-4365 | 2011-05-24 |
| 1952452096 | Psi Services IIi, Inc. | Clinic/Center | 4819 Soutel Dr, Jacksonville, FL 32208-1856 | 2007-01-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on CHILD GUIDANCE CENTER, INC..
| 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.