PSI SERVICES III, INC. (NPI# 1952452096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952452096 |
| Entity Type | Organization |
| Organization Name | PSI SERVICES III, INC. |
| Other Organization Name | PSI FAMILY SERVICES, INC. |
| Practice Address |
4819 Soutel Dr Jacksonville FL 32208-1856 |
| Mailing Address |
7101 Wisconsin Ave Suite 1400 Bethesda MD 20814-4871 |
| Practice Telephone | 9047236049 |
| Practice Fax Number | 9047235904 |
| Mailing Telephone | 3016543903 |
| Mailing Fax Number | 3016544418 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | HELEN DORTCH (V.P. FINANCE) |
| Authorized Official Telephone | 3016543903 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PSI Family Services, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942578133 | Psi Services IIi, Inc. | Clinic/Center | 770 M Street Se, Washington, DC 20003-3609 | 2011-12-02 |
| 1114399862 | Psi Services IIi, Inc. | Clinic/Center | 5820 Dix St Ne, Washington, DC 20019-6965 | 2015-10-21 |
| 1306149844 | Psi Services IIi, Inc. | Clinic/Center | 3890 Dunn Ave, Suite 1104, Jacksonville, FL 32218-6428 | 2010-12-06 |
| 1013113554 | Psi Services IIi, Inc. | Day Training, Developmentally Disabled Services | 3890 Dunn Ave, Suite 1104, Jacksonville, FL 32218-6428 | 2007-06-22 |
| 1366653487 | Psi Services IIi, Inc. | Clinic/Center | 770 M St Se, Washington, DC 20003-3609 | 2007-05-24 |
| Street Address |
4819 SOUTEL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32208-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
| 1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
| 1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
| 1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
| 1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
| 1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
| 1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
| Find all providers in zip 32208 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 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 |
| 1154430197 | Marlyn Enterprises of Jacksonville | Clinic/Center | 11265 Alumni Way, Jacksonville, FL 32246-6685 | 2006-08-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32208 |
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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.