Psi Services Iii, Inc. in Jacksonville - Community/behavioral Health
Psi Services Iii, Inc. - NPI 1013113554
Psi Services Iii, Inc. is a Community/behavioral Health in Jacksonville, Florida. Psi Services Iii, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Psi Services Iii, Inc. is 1013113554. The last update date is 2022-07-21.
Psi Services Iii, Inc.'s current location address is 3890 Dunn Ave, Jacksonville, Florida. You can contact this provider via phone number 9047236049 and fax number 9047235094. The mailing address for Psi Services Iii, Inc. is 3890 Dunn Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psi Services Iii, Inc. |
|---|---|
| Address | 3890 Dunn Ave, Jacksonville, Florida |
| Phone Number | 9047236049 |
| Fax Number | 9047235094 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Wallace Ricky |
| Telephone Number | 9047236049 |
NPI Number Detail
| NPI Number | 1013113554 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3890 Dunn Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322186428 |
| Phone Number | 9047236049 |
| Fax Number | 9047235094 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 686933596 | FL | -- | |
| 76505 1500 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Psi Services Iii, Inc.?
The Psi Services Iii, Inc. has been issued the NPI (National Provider Identifier) 1013113554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Psi Services Iii, Inc.?
The Psi Services Iii, Inc. is physically situated at 3890 Dunn Ave, in the city of Jacksonville, state of FL, with the postal code 322186428.
What is the Psi Services Iii, Inc.'s area of specialization and corresponding taxonomy classification?
The Psi Services Iii, Inc.'s specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013113554 to Psi Services Iii, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1013113554 to Psi Services Iii, Inc. on 2007-06-22.
As of what date was the information regarding Psi Services Iii, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Psi Services Iii, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL