| Clay Behavioral Health Center Inc | |
|
3292 County Road 220 Middleburg FL 32068-4357 | |
| (904) 291-5561 | |
| Not Available |
| Full Name | Clay Behavioral Health Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3292 County Road 220, Middleburg, Florida |
| Authorized Official Name and Position | Tina Swathwood (FINANCE DIRECTOR) |
| Authorized Official Contact | 9042785644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Behavioral Health Center Inc 1726 Kingsley Ave Ste 2 Orange Park FL 32073-4411 Ph: (904) 278-5644 | Clay Behavioral Health Center Inc 3292 County Road 220 Middleburg FL 32068-4357 Ph: (904) 291-5561 |
| NPI Number | 1275619488 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Medicare PECOS PAC ID | 7911990353 |
|---|---|
| Medicare Enrollment ID | O20040403000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275619488 | NPI | - | NPPES |
| 060411900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0410AD31700 (Florida) | Primary |
| Provider Name | Alexander Fariborzian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710045539 PECOS PAC ID: 2163424649 Enrollment ID: I20070213000373 |
| Provider Name | Melodie S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699891028 PECOS PAC ID: 6507995198 Enrollment ID: I20100519000726 |
| Provider Name | James T Menges |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427277300 PECOS PAC ID: 3971825159 Enrollment ID: I20141124002083 |
| Provider Name | Tolulope A Dada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124418728 PECOS PAC ID: 0143548586 Enrollment ID: I20150414001864 |
| Provider Name | Concetta A. Hillman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366093247 PECOS PAC ID: 6800224908 Enrollment ID: I20200324003210 |
| Provider Name | Andrea Janice Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689889180 PECOS PAC ID: 7719220771 Enrollment ID: I20221108002482 |
Great Strides Rehabilitation Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 College Dr Ste 107, Middleburg, FL 32068 Phone: 904-886-3228 Fax: 904-404-7743 | |
Clay Behavioral Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5571 | |
Clay Community Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2497 County Road 220, Middleburg, FL 32068 Phone: 904-801-5800 | |
Transitions Behavior Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4194 Sandhill Crane Ter, Middleburg, FL 32068 Phone: 904-738-4148 | |
Melcolm Mental Health Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4110 Osceola Trl, Middleburg, FL 32068 Phone: 904-502-9883 | |
Pca Plus Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 419-a College Dr., Suite 6, Middleburg, FL 32068 Phone: 904-272-5096 Fax: 904-272-5097 |