PRESTIGE SENIOR CARE
NPI 1275113565
Psychologist - Clinical Child & Adolescent in Jacksonville, FL

Q: What is Prestige Senior Care's NPI number?

The NPI number for Prestige Senior Care is 1275113565. It was assigned to this organization in the NPPES registry on April 11, 2021.

Q: What is Prestige Senior Care's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since April 11, 2021

10151 DEERWOOD PARK BLVD STE 250, JACKSONVILLE, FL 32256(800) 438-6702 Get Directions Write a Review

NPPES record last updated: April 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Prestige Senior Care NPPES

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

PRESTIGE SENIOR CARE (NPI 1275113565) is a healthcare organization registered as a clinical child & adolescent in Jacksonville, Florida and active in the NPI registry since April 2021. The organization lists Kimberly Mix, Owner, as its authorized official.

NPPES Registry Identity

NPI1275113565

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NamePRESTIGE SENIOR CARE

Location Address10151 DEERWOOD PARK BLVD STE 250Jacksonville, FL 32256-0566

Mailing Address8450 Gate Pkwy W Unit 1330Jacksonville, FL 32216-1072 · (904) 545-5481

Phone(800) 438-6702

Organization SubpartNo

Authorized OfficialKimberly MixOwner · (904) 545-5481

Enumeration DateApril 11, 2021

NPPES CertifiedApril 11, 2021

✔ NPI 1275113565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

10151 DEERWOOD PARK BLVD STE 250, Jacksonville, FL 32256

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Other Names 1

Former Legal Business NamePrestige Senior Care

Other Identifiers 1

Other1154907897FL · Home Health Aide

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

Other Providers at the Same Location NPPES 10

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

GENESIS TOTALHEALTH AND WELLNESS CENTER

Clinic/Center (Multi-Specialty)