ANTIONETTE JARSHAWN MILLER-MAULTSBY
NPI 1013573039
Psychologist - Health Service in Jacksonville, FL

Q: What is Antionette Miller-maultsby's NPI number?

The NPI number for Antionette Miller-maultsby is 1013573039. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Q: What is Antionette Miller-maultsby's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Active since May 15, 2019

4401 WILL SCARLET RD, JACKSONVILLE, FL 32208(904) 352-0066 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Antionette Jarshawn Miller-maultsby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTIONETTE JARSHAWN MILLER-MAULTSBY (NPI 1013573039) is an individual health service provider in Jacksonville, Florida, licensed in Florida (103TH0100X) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1013573039

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameANTIONETTE JARSHAWN MILLER-MAULTSBY

Location Address4401 WILL SCARLET RDJacksonville, FL 32208-1154

Mailing Address4401 Will Scarlet RdJacksonville, FL 32208-1154 · (904) 352-0066

Phone(904) 352-0066

Sole ProprietorYes

Enumeration DateMay 15, 2019

Last NPPES UpdateJanuary 19, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1013573039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in FL · 103TH0100X

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

4401 WILL SCARLET RD, Jacksonville, FL 32208

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEART TO HEART CONNECTION COMPANION SERVICE

In Home Supportive Care

4401 WILL SCARLET RD
JACKSONVILLE, FL 32208

Duval County (904) 352-0066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antionette Miller-maultsby's NPI number?

The NPI number for Antionette Miller-maultsby is 1013573039. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Antionette Miller-maultsby located?

Antionette Miller-maultsby practices at 4401 Will Scarlet Rd, Jacksonville, FL 32208. The listed phone number is (904) 352-0066.

What is Antionette Miller-maultsby's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Antionette Miller-maultsby was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.