NORTHEAST FLOIDA STATE HOSPITAL
NPI 1629185277
Psychiatric Hospital in Orange Park, FL

Q: What is Northeast Floida State Hospital's NPI number?

The NPI number for Northeast Floida State Hospital is 1629185277. It was assigned to this organization in the NPPES registry on August 23, 2006.

Q: What is Northeast Floida State Hospital's specialty?

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

Active since August 23, 2006

1820 WILD GRAPE LN, ORANGE PARK, FL 32003(904) 269-2606 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northeast Floida State Hospital NPPES

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

NORTHEAST FLOIDA STATE HOSPITAL (NPI 1629185277) is a healthcare organization registered as a psychiatric hospital in Orange Park, Florida and active in the NPI registry since August 2006. The organization lists Toribio M. Duhaylungsod, Senior Physician Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1629185277

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameNORTHEAST FLOIDA STATE HOSPITAL

Location Address1820 WILD GRAPE LNOrange Park, FL 32003-7204

Mailing Address1820 Wild Grape LnOrange Park, FL 32003-7204 · (904) 269-2606

Phone(904) 269-2606

Organization SubpartNo

Authorized OfficialToribio M. DuhaylungsodSenior Physician Psychiatrist · (904) 259-6211

Enumeration DateAugust 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1629185277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

License✔ Licensed in FL · ME27968

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.

1820 WILD GRAPE LN, Orange Park, FL 32003

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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 Northeast Floida State Hospital's NPI number?

The NPI number for Northeast Floida State Hospital is 1629185277. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Northeast Floida State Hospital located?

Northeast Floida State Hospital is located at 1820 Wild Grape Ln, Orange Park, FL 32003. The listed phone number is (904) 269-2606.

What is Northeast Floida State Hospital's specialty?

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

When was this NPI record last updated?

The NPPES record for Northeast Floida State Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.