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Prestige Senior Care

Clinical Child & Adolescent Psychologist in Jacksonville, FL · enumerated 2021 · authorized official Kimberly Mix, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275113565

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Registry record

Entity type Organization (Type 2)
Legal business name Prestige Senior Care
Practice address 10151 Deerwood Park Blvd Ste 250, Jacksonville, FL, 32256
Enumeration date Apr 11, 2021
Last updated in NPPES Apr 11, 2021

Taxonomy & classification

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Primary

Authorized official

Name Kimberly Mix
Title Owner

Other identifiers

Identifier Type State Issuer
1154907897 Other FL HOME HEALTH AIDE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Prestige Senior Care?
Prestige Senior Care is registered in NPPES as a Clinical Child & Adolescent Psychologist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-11.