Provider Demographics
NPI:1073978250
Name:JAYNE CO.
Entity type:Organization
Organization Name:JAYNE CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JAYNE
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-271-0153
Mailing Address - Street 1:4505 S OCEAN BLVD
Mailing Address - Street 2:1002
Mailing Address - City:HIGHLAND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33487-4263
Mailing Address - Country:US
Mailing Address - Phone:561-271-0153
Mailing Address - Fax:
Practice Address - Street 1:4505 S OCEAN BLVD
Practice Address - Street 2:1002
Practice Address - City:HIGHLAND BEACH
Practice Address - State:FL
Practice Address - Zip Code:33487-4263
Practice Address - Country:US
Practice Address - Phone:561-271-0153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6838261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health