OrganizationActive
Child Guidance Center, Inc.
NPI 1629646450 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, FL
Provider details
- NPI number
- 1629646450
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beth Oberlander, Chief Clinical Officer(904) 400-6739
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 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
1110 Edgewood Ave W
Jacksonville, FL 32208-6405
Phone: (904) 448-4700
Street-level locationGet directions
Mailing address
5776 Saint Augustine Rd
Jacksonville, FL 32207-8046
Registry dates
- Enumerated
- 2021-06-17
- Last updated
- 2021-06-17
- Certified
- 2021-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.