Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prestige Senior Care

Organization Clinical Child & Adolescent Psychologist · NPI 1275113565

Prestige Senior Care is a Clinical Child & Adolescent Psychologist in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

10151 Deerwood Park Blvd Ste 250
Jacksonville, FL 32256-0566
Phone: (800) 438-6702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1275113565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Mix — Owner · (904) 545-5481
Other names Prestige Senior Care
NPI enumeratedApril 11, 2021
Last updated in NPPESApril 11, 2021
Certification dateApril 11, 2021
Mailing address8450 Gate Pkwy W Unit 1330, Jacksonville, FL 32216-1072

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