WILLIAM JOSEPH SLATTERY


Address: 1100 Cesery Blvd, Suite 100, Jacksonville, FL 32211-5674
Phone: 9047306288

WILLIAM JOSEPH SLATTERY (NPI# 1962781393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962781393
Entity Type Individual
Full Name WILLIAM JOSEPH SLATTERY
Practice Address 1100 Cesery Blvd
Suite 100
Jacksonville
FL 32211-5674
Practice Telephone 9047306288
Mailing Telephone 9047306288
Enumeration Date 2011-08-16
Last Update Date 2011-08-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Providers WILLIAM SLATTERY

NPI Name Taxonomy Address Enumeration
1689797136 William Scott Slattery Psychologist 1337 Saint Clair Ave, Saint Paul, MN 55105-2844 2007-04-09
1548889637 William Lee Slattery Physical Therapist 4102 Vestal Rd, Vestal, NY 13850-3531 2020-04-09
1184728750 William H Slattery IIi Otolaryngology 2100 W 3rd St, Suite 111, Los Angeles, CA 90057-1944 2006-09-12

Office Location

Street Address 1100 CESERY BLVD
SUITE 100
City JACKSONVILLE
State FL
Zip Code 32211-5674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891744504 Waleska Oquendo-tirado General Practice 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2006-05-09
1114537073 Darcellis Stinnette Massage Therapist 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2020-08-05
1568016459 Manuela Claudia Cismaru Nurse Practitioner 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2019-07-29
1215598008 Adrianne J Parris Massage Therapist 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2019-06-24
1619536174 Jessica Lynn Askew Nurse Practitioner 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2019-06-10
1124683214 Cherie Danielle Schaffner Nurse Practitioner 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2019-05-05
1922572023 Natasha T Ingram Nurse Practitioner 1100 Cesery Blvd, Jacksonville, FL 32211 2019-01-11
1750879201 Jasmine Fair Social Worker 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2018-04-30
1700399532 Shannon Spaulding Counselor 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2017-11-15
1053833293 Amy Anne Buckley Social Worker 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2017-07-10
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1023583325 Linnzi Marks Behavioral Analyst 6014 Wateredge Ln, Jacksonville, FL 32211 2018-10-12
1780160192 Ganesh Healthcare of Jax LLC Alzheimer Center (Dementia Center) 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 2018-07-18
1902397276 Chandra Harris Washington In Home Supportive Care 2712 Gaillardia Rd, Jacksonville, FL 32211 2018-05-22
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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1104427632 Sunzup Counseling and Wellness Community/Behavioral Health 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 2020-11-02
1063043420 Elephant Clinic Ltd. Community/Behavioral Health 8 Unf Dr # 221, Jacksonville, FL 32224-7699 2020-02-03
1679056857 Inspire To Rise Inc. Community/Behavioral Health 4603 Silverthorn Dr, Jacksonville, FL 32258-2010 2018-09-13
1558863787 Positive Development, LLC Community/Behavioral Health 3840 Belfort Rd Ste 302, Jacksonville, FL 32216-8210 2018-03-04
1073012555 Pivotal Step Services, Pllc Community/Behavioral Health 1106b Gum Branch Rd, Jacksonville, NC 28540-5743 2018-02-09
1518473594 Werp LLC Community/Behavioral Health 5291 Collins Rd Lot 293, Jacksonville, FL 32244-5389 2017-12-28
1871007062 National Youth Advocate Program, Inc Community/Behavioral Health 2200 Rosselle St, Jacksonville, FL 32204-3126 2017-11-27
1962913327 Port Health Services Community/Behavioral Health 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 2017-10-12
1598282667 B.e.h. Elderly Care LLC Community/Behavioral Health 5145 Timuquana Rd Apt 6, Jacksonville, FL 32210-8923 2017-08-29
1427598689 Family Farms of Northeast Florida Community/Behavioral Health 16844 Ethel Rd, Jacksonville, FL 32218-1108 2017-03-06
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Competitor

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City JACKSONVILLE
Zip Code 32211

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Dataset Information

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.

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