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ELLIOTT B ROSENBAUM PSYD PA
NPI 1912292004
Community/Behavioral Health in Jacksonville, FL

Active since June 16, 2011
4465 BAYMEADOWS RD, SUITE 7, JACKSONVILLE, FL 32217(904) 252-7979 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elliott B Rosenbaum Psyd Pa NPPES

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

ELLIOTT B ROSENBAUM PSYD PA (NPI 1912292004) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since June 2011. The organization lists Elliott Rosenbaum, Director, as its authorized official.

NPPES Registry Identity

NPI1912292004
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameELLIOTT B ROSENBAUM PSYD PA
Location Address4465 BAYMEADOWS RD, SUITE 7Jacksonville, FL 32217-4732
Mailing Address4465 Baymeadows Rd, Suite 7Jacksonville, FL 32217-4732
Phone(904) 252-7979
Organization SubpartNo
Authorized OfficialElliott RosenbaumDirector · (904) 252-7979
Enumeration DateJune 16, 2011
✔ NPI 1912292004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in FL · PY8117
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4465 BAYMEADOWS RD, Jacksonville, FL 32217
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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.

ELLIOTT B ROSENBAUM PSYD PA
Psychologist
4465 BAYMEADOWS RD
JACKSONVILLE, FL 32217
Duval County (904) 252-7979
LUZ ADRIANA OWENS APRN
Nurse Practitioner (Family)
4465 BAYMEADOWS RD, SUITE 5
JACKSONVILLE, FL 32217
Duval County (904) 737-0111
MICHAEL EDWARD LUTZ MD
Dermatology
4465 BAYMEADOWS RD, SUITE 5
JACKSONVILLE, FL 32217
Duval County (904) 737-0111

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 Elliott B Rosenbaum Psyd PA's NPI number?

The NPI number for Elliott B Rosenbaum Psyd PA is 1912292004. It was assigned to this organization in the NPPES registry on June 16, 2011.

Where is Elliott B Rosenbaum Psyd PA located?

Elliott B Rosenbaum Psyd PA is located at 4465 Baymeadows Rd Suite 7, Jacksonville, FL 32217. The listed phone number is (904) 252-7979.

What is Elliott B Rosenbaum Psyd PA's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Elliott B Rosenbaum Psyd PA was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.