PACIFICA CARE PLLC (NPI# 1669775037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669775037 |
| Entity Type | Organization |
| Organization Name | PACIFICA CARE PLLC |
| Practice Address |
13121 Atlantic Blvd Suite 100 Jacksonville FL 32225 |
| Practice Telephone | 9042212232 |
| Practice Fax Number | 9042212205 |
| Mailing Telephone | 9042212232 |
| Mailing Fax Number | 9042212205 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2012-01-10 |
| Authorized Official Name | PEGGY A ARCANZ (ADMINISTRATOR) |
| Authorized Official Telephone | 9042212232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
9102783 | FL | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
HCC8789 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292650400 | 05 |
| Street Address |
13121 ATLANTIC BLVD SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355051 | Kesha Devona Taylor | Behavior Technician | 13121 Atlantic Blvd, Jacksonville, FL 32225-0103 | 2019-09-19 |
| 1043798291 | Darby Ann Harris | Behavioral Analyst | 13121 Atlantic Blvd, Jacksonville, FL 32225-0103 | 2018-07-31 |
| 1902331382 | Proactive Life Skills LLC | Community/Behavioral Health | 13121 Atlantic Blvd, Suite 200, Jacksonville, FL 32225-0103 | 2017-04-24 |
| 1356649271 | Ross Weisheit | Specialist | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568018133 | Julie Mergl, Inc. | Clinic/Center | 6100 Greenland Rd Ste 302, Jacksonville, FL 32258-2626 | 2019-08-10 |
| 1700445350 | Cleetherapy | Clinic/Center | 12627 San Jose Blvd Ste 803, Jacksonville, FL 32223-8644 | 2019-06-07 |
| 1467070359 | Priscilla Diane Counseling LLC | Clinic/Center | 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207-9032 | 2020-07-08 |
| 1124689880 | Empowered Sol Wellness Center, LLC | Clinic/Center | 7530 103rd St Ste 7, Jacksonville, FL 32210-6786 | 2019-06-24 |
| 1780193094 | Mental Health Jax | Clinic/Center | 8825 Perimeter Park Blvd, Jacksonville, FL 32216-1108 | 2017-09-29 |
| 1396281382 | Ibpeople Consulting | Clinic/Center | 1912 Hamilton St Ste 103, Jacksonville, FL 32210-2077 | 2017-01-13 |
| 1124570189 | Brighter Future Case Management Services LLC | Clinic/Center | 2950 Halcyon Ln, Ste 701, Jacksonville, FL 32223-6689 | 2016-10-25 |
| 1124415328 | Psychaccess and Recovery Solutions, LLC | Clinic/Center | 3636 University Blvd S Ste B2, Jacksonville, FL 32216-4223 | 2015-04-25 |
| 1750773636 | Bellevue Behavioral Solutions Inc | Clinic/Center | 12058 San Jose Blvd Ste 903, Jacksonville, FL 32223-8667 | 2015-03-02 |
| 1124441175 | Janet D. Constantine Pl | Clinic/Center | 9822 Tapestry Park Cir, Suite 206, Jacksonville, FL 32246-9258 | 2014-01-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
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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.