CLAY BEHAVIORAL HEALTH CENTER, INC. (NPI# 1720089782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720089782 |
| 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 Suite 2 Orange Park FL 32073-4463 |
| Practice Telephone | 9042915561 |
| Practice Fax Number | 9042915575 |
| Mailing Telephone | 9042785645 |
| Mailing Fax Number | 9042785659 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TINA MARIE SWATHWOOD (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 9042785645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 0410AD931700 | FL | Agencies |
| Street Address |
3292 COUNTY ROAD 220 |
| City | MIDDLEBURG |
| State | FL |
| Zip Code | 32068-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1912427204 | Anderson Jerome Schuyler | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2017-06-27 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962761858 | N.e.f. Community Achievement Network, Inc | Case Management | 419-a College Dr., Suite 6, Middleburg, FL 32068 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336113 | Health Sunshine Wellness Corp | Case Management | 3525 Nw 7th St Ste 1a, Miami, FL 33125-4015 | 2020-11-06 |
| 1821699216 | Eligibolt LLC | Case Management | 1457 E Bexley Park Dr, Delray Beach, FL 33445-3543 | 2020-11-03 |
| 1457951030 | Best Behavioral Health Case Management Services | Case Management | 753 Ne 79th St Unit Cu-2, Miami, FL 33138-4711 | 2020-10-31 |
| 1316547169 | Miguel F Perez Mba & Associates LLC | Case Management | 4995 Nw 72nd Ave Ste 400, Miami, FL 33166-5643 | 2020-10-30 |
| 1518567551 | Sandra Ivette Rivera Sr. | Case Management | 7315 Kaha St Unit 344, Orlando, FL 32822-5684 | 2020-10-28 |
| 1831799030 | Sunset Case Management Service Corp | Case Management | 4238 Hollywood Blvd Ste 202, Hollywood, FL 33021-6600 | 2020-10-27 |
| 1306446612 | Sunrise Medical Wellness LLC | Case Management | 1761 W Hillsboro Blvd Ste 403, Deerfield Beach, FL 33442-1563 | 2020-10-27 |
| 1346849585 | Yasel Carballo Camero | Case Management | 5590 W 20th Ave Ste 400, Hialeah, FL 33016-7062 | 2020-10-20 |
| 1396344628 | Julio Cuellar | Case Management | 12905 Sw 42nd St Ste 209, Miami, FL 33175-2912 | 2020-10-19 |
| 1437757911 | Aristides Marcial Gomez | Case Management | 10135 Nw 127th St, Hialeah Gardens, FL 33018-7438 | 2020-10-15 |
| 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.