ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS NPI 1629067970

NPI Information

NPI: 1629067970
Provider Name: ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Other Name: ST JOHNS COUNTY MENTAL HEALTH DEPARTMENT
Address: 1955 US HIGHWAY 1 S
SUITE C-2
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 209-6001

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NPI Details

ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS is a mental health (including community mental health center) clinic center in St Augustine, FL. ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS NPI is 1629067970. The provider is registered as an organization entity type.
The provider Other Name Is St Johns County Mental Health Department.

The provider's business location address is:

1955 US HIGHWAY 1 S
SUITE C-2
ST AUGUSTINE, FL
ZIP 32086-708
Phone: (904) 209-6001
Fax: (904) 209-6002

The provider's authorized official is Maria Colavito .
The authorized official title is Health & Human Services Director and has the following contact phone number (904) 209-6082.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 7/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39301	OTHER	FLORIDA	OUTPATIENT SERVICES
2	39301	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	OUTPATIENT SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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