OrganizationActive
Psi Behavioral Health LLC
NPI 1063847465 · Case Management Agency · Jacksonville, FL
Psi Behavioral Health LLC is a Case Management Agency organization in Jacksonville, FL (NPI 1063847465).
Provider details
- NPI number
- 1063847465
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ricky Wallace, Ceo(904) 723-6049
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3890 Dunn Ave
Suite 1104
Jacksonville, FL 32218-6428
Phone: (904) 723-6049
Street-level locationGet directions
Mailing address
3890 Dunn Ave
Jacksonville, FL 32218-6428
Registry dates
- Enumerated
- 2013-09-05
- Last updated
- 2013-09-05
Frequently asked questions
- What is Psi Behavioral Health LLC's NPI number?
- Psi Behavioral Health LLC's National Provider Identifier (NPI) is 1063847465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psi Behavioral Health LLC?
- Psi Behavioral Health LLC is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Psi Behavioral Health LLC located?
- Psi Behavioral Health LLC's practice location on file with NPPES is 3890 Dunn Ave, Jacksonville, FL 32218-6428.
- What is Psi Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Psi Behavioral Health LLC is (904) 723-6049.
- Who is the authorized official for Psi Behavioral Health LLC?
- The authorized official listed on Psi Behavioral Health LLC's NPPES record is Ricky Wallace, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psi Behavioral Health LLC's NPI active?
- Yes — Psi Behavioral Health LLC's NPI (1063847465) is active in the NPPES registry as of the last update on 2013-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.