HYATT HAVEN MENTAL HEALTH CLINIC
NPI 1063228559
Clinic/Center - Multi-Specialty in Orange Park, FL

Q: What is Hyatt Haven Mental Health Clinic's NPI number?

The NPI number for Hyatt Haven Mental Health Clinic is 1063228559. It was assigned to this organization in the NPPES registry on December 9, 2024.

Q: What is Hyatt Haven Mental Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since December 09, 2024

2140 KINGSLEY AVE STE 8, ORANGE PARK, FL 32073(904) 742-8623 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Hyatt Haven Mental Health Clinic NPPES

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

HYATT HAVEN MENTAL HEALTH CLINIC (NPI 1063228559) is a healthcare organization registered as a multi-specialty in Orange Park, Florida and active in the NPI registry since December 2024. The organization lists Jacquelyn Hyatt, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1063228559

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameHYATT HAVEN MENTAL HEALTH CLINIC

Location Address2140 KINGSLEY AVE STE 8Orange Park, FL 32073-5129

Mailing Address630 Plainfield AveOrange Park, FL 32073-2916 · (904) 742-8623

Phone(904) 742-8623

Organization SubpartNo

Authorized OfficialJacquelyn HyattOwner/manager · (904) 742-8623

Enumeration DateDecember 9, 2024

NPPES CertifiedDecember 9, 2024

✔ NPI 1063228559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

2140 KINGSLEY AVE STE 8, Orange Park, FL 32073

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Hyatt Haven Mental Health Clinic's NPI number?

The NPI number for Hyatt Haven Mental Health Clinic is 1063228559. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Hyatt Haven Mental Health Clinic located?

Hyatt Haven Mental Health Clinic is located at 2140 Kingsley Ave Ste 8, Orange Park, FL 32073. The listed phone number is (904) 742-8623.

What is Hyatt Haven Mental Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Hyatt Haven Mental Health Clinic was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.