OrganizationActive
Jacksonville Psych, LLC
NPI 1477211506 · Psychiatry Physician · Jacksonville, FL
Jacksonville Psych, LLC is a Psychiatry Physician organization in Jacksonville, FL (NPI 1477211506).
Provider details
- NPI number
- 1477211506
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Gregory, Aprn, Owner(904) 330-4059
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
12058 San Jose Blvd.
Suite 404-C
Jacksonville, FL 32223-8666
Phone: (904) 708-9220
Street-level locationGet directions
Mailing address
12058 San Jose Blvd.
Jacksonville, FL 32223-8666
Registry dates
- Enumerated
- 2021-12-06
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Frequently asked questions
- What is Jacksonville Psych, LLC's NPI number?
- Jacksonville Psych, LLC's National Provider Identifier (NPI) is 1477211506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Psych, LLC?
- Jacksonville Psych, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Jacksonville Psych, LLC located?
- Jacksonville Psych, LLC's practice location on file with NPPES is 12058 San Jose Blvd., Jacksonville, FL 32223-8666.
- What is Jacksonville Psych, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Psych, LLC is (904) 708-9220.
- Who is the authorized official for Jacksonville Psych, LLC?
- The authorized official listed on Jacksonville Psych, LLC's NPPES record is Jessica Gregory, Aprn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Psych, LLC's NPI active?
- Yes — Jacksonville Psych, LLC's NPI (1477211506) is active in the NPPES registry as of the last update on 2021-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.