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AMPLAA BEHAVIORAL HEALTH
NPI 1639848450
Nurse Practitioner - Psychiatric/Mental Health in Orange Park, FL

Active since September 07, 2021
1895 KINGSLEY AVE STE 403, ORANGE PARK, FL 32073(904) 300-4341 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amplaa Behavioral Health NPPES

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

AMPLAA BEHAVIORAL HEALTH (NPI 1639848450) is a healthcare organization registered as a psychiatric/mental health in Orange Park, Florida and active in the NPI registry since September 2021. The organization lists Gerry Lee Surrency, Owner, as its authorized official.

NPPES Registry Identity

NPI1639848450
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAMPLAA BEHAVIORAL HEALTH
Location Address1895 KINGSLEY AVE STE 403Orange Park, FL 32073-4453
Mailing Address1895 Kingsley Ave Ste 403Orange Park, FL 32073-4453 · (904) 300-4341
Phone(904) 300-4341
Organization SubpartNo
Authorized OfficialGerry Lee SurrencyOwner · (904) 300-4341
Enumeration DateSeptember 7, 2021
Last NPPES UpdateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1639848450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1895 KINGSLEY AVE STE 403, Orange Park, FL 32073
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

ADVANCED PATHWAYS FOR MENTAL HEALTH
Nurse Practitioner (Psychiatric/Mental Health)
1895 KINGSLEY AVE STE 403
ORANGE PARK, FL 32073
Clay County (904) 248-8926
MS. CECILIA LANGFORD APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1895 KINGSLEY AVE STE 403
ORANGE PARK, FL 32073
Clay County (904) 248-8926
MR. GERRY SURRENCY PMHNP-BC, ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1895 KINGSLEY AVE STE 403
ORANGE PARK, FL 32073
Clay County (904) 300-4341

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 Amplaa Behavioral Health's NPI number?

The NPI number for Amplaa Behavioral Health is 1639848450. It was assigned to this organization in the NPPES registry on September 7, 2021.

Where is Amplaa Behavioral Health located?

Amplaa Behavioral Health is located at 1895 Kingsley Ave Ste 403, Orange Park, FL 32073. The listed phone number is (904) 300-4341.

What is Amplaa Behavioral Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Amplaa Behavioral Health was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.