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NORTHEAST FLORIDA STATE HOSPITAL
NPI 1013931765
Psychiatric Hospital in Macclenny, FL

Active since July 26, 2006CLIA Certified · 2 labs
7487 S STATE ROAD 121, ACCOUNTING DEPARTMENT, MACCLENNY, FL 32063(904) 259-6211(904) 259-7154 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Florida State Hospital NPPES

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

NORTHEAST FLORIDA STATE HOSPITAL (NPI 1013931765) is a healthcare organization registered as a psychiatric hospital in Macclenny, Florida and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Linda G. Williams, Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1013931765
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameFLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Location Address7487 S STATE ROAD 121, ACCOUNTING DEPARTMENTMacclenny, FL 32063-5451
Mailing Address7487 S State Road 121, Accounting DepartmentMacclenny, FL 32063-5480 · (904) 259-6211 · Fax (904) 259-7154
Phone(904) 259-6211
Fax(904) 259-7154
Organization SubpartNo
Authorized OfficialLinda G. WilliamsHospital Administrator · (904) 330-2001
Enumeration DateJuly 26, 2006
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1013931765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in FL · 4004
Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

7487 S STATE ROAD 121, Macclenny, FL 32063
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Other Names 1

Doing Business AsNortheast Florida State Hospital

Other Identifiers 1

Medicaid026002900FL

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0267077

Northeast Florida State Hospital · Macclenny, FL
Active · expires Mar 11, 2027
CLIA Number10D0267077
Laboratory TypeHospital
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorAmanda M. Aronchick
Laboratory Phone(904) 330-2010
Laboratory LocationNortheast Florida State Hospital7487 South State Road 121, Macclenny, FL 32063
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D0878714

Northeast Florida State Hosp-Nursing · Macclenny, FL
Active · expires Nov 4, 2027
CLIA Number10D0878714
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorCarol L. Hodges
Laboratory Phone(904) 259-6211
Laboratory LocationNortheast Florida State Hosp-Nursing7487 S State Road 121, Macclenny, FL 32063
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Northeast Florida State Hospital (CMS certification number 104007), from CMS Care Compare.

Northeast Florida State Hospital

Psychiatric · Macclenny, FL
OwnershipGovernment - State
CMS Certification Number104007
Location7487 S State Rd 121Macclenny, FL 32063 · Baker County · (904) 330-2001

Other Providers at the Same Location NPPES 20

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

DR. LY C LAM MD
Family Medicine
7487 S STATE ROAD 121
MACCLENNY, FL 32063
Baker County (904) 396-5682
DR. THU D NGUYEN MD
Family Medicine
7487 S STATE ROAD 121
MACCLENNY, FL 32063
Baker County (904) 396-5682
DR. DONALD O HALL DO
Family Medicine
7487 S STATE ROAD 121, NORTHEAST FLORIDA STATE HOSPITAL
MACCLENNY, FL 32063
Baker County (904) 396-5682
MR. RANDLY LYSANDER WOODS MD
Psychiatry & Neurology (Psychiatry)
7487 S STATE ROAD 121
MACCLENNY, FL 32063
Baker County (904) 259-6211
MR. SERGIO M. ARCEY M.D.
Psychiatry & Neurology (Psychiatry)
7487 S STATE ROAD 121
MACCLENNY, FL 32063
Baker County (904) 259-6211
DR. JUDITH HALLSTROM M.D.
Psychiatry & Neurology (Psychiatry)
7487 S STATE ROAD 121
MACCLENNY, FL 32063
Baker County (904) 259-6211
MR. TRONG TAN TRAN MD
Psychiatry & Neurology (Psychiatry)
7487 S STATE ROAD 121
MACCLENNY, FL 32063
Baker County (904) 259-6211
MR. JAMES TIMOTHY DAMIANI M.D.
Psychiatry & Neurology (Psychiatry)
7487 S STATE ROAD 121
MACCLENNY, FL 32063
Baker County (990) 425-9621

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 Florida Department Of Children And Families's NPI number?

The NPI number for Florida Department Of Children And Families is 1013931765. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Northeast Florida State Hospital.

Where is Florida Department Of Children And Families located?

Florida Department Of Children And Families is located at 7487 S State Road 121 Accounting Department, Macclenny, FL 32063. The listed phone number is (904) 259-6211.

What is Florida Department Of Children And Families's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Florida Department Of Children And Families hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Florida Department Of Children And Families a Medicare-certified hospital?

Yes. Northeast Florida State Hospital is a Medicare-certified hospital (Psychiatric).

When was this NPI record last updated?

The NPPES record for Florida Department Of Children And Families was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.