Bassi Mental Health PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME129546 Issued in FL

Legal business name

BASSI MENTAL HEALTH PA

Practice address

1820 State Road 13 N Ste 11-926
St Johns, FL 32259-8856

Phone

(888) 730-5220

Fax

(888) 524-8166

NPI assigned

Jan 17, 2018

Organization subpart

No

Name

Dr. Bruce Daniel Bassi, MD MSNPI 1093125759

Title

Medical Director

Phone

(888) 730-5220

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Daniel Bassi, M.D.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1093125759

  IL, Psychiatry

  Medicare reassignment NPD Authorized official
• Sarah Grace Purdy, PA-C

  • Physician Assistant
  • Pensacola, FL
  • NPI 1285948703

  IL

  Medicare reassignment
• John Riley, PA-C

  • Physician Assistant
  • Rochester, MI
  • NPI 1376008250

  IL

  Medicare reassignment
• Kimberly Eccher, PA

  • Physician Assistant
  • Saint Johns, FL
  • NPI 1063906865
  NPD
• Antony V Antony, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lockport, IL
  • NPI 1093470692
  NPD
• Weston Blake Mills, PA-C

  • Physician Assistant
  • St Johns, FL
  • NPI 1174123541
  NPD (past)
• Seanra J Kalil, PA-C

  • Physician Assistant
  • Libertyville, IL
  • NPI 1669626149
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: telepsych@org47.direct.charmhealth.com

• TelepsychHealth Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2024.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1013425586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238669",
            "telephone_number": "888-730-5220",
            "fax_number": "888-524-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 STATE ROAD 13 N STE 11-926",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322598856",
            "telephone_number": "888-730-5220",
            "fax_number": "888-524-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Bartol St Ste 1275",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941334501",
            "country_code": "US",
            "telephone_number": "888-730-5220",
            "fax_number": "888-524-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 W Taylor St # 465",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606074623",
            "country_code": "US",
            "telephone_number": "888-730-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5123 W 98th St # 1150",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554372040",
            "country_code": "US",
            "telephone_number": "888-730-5220",
            "fax_number": "888-524-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BASSI MENTAL HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BASSI",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "888-730-5220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MS"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME129546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TelepsychHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desteni Mariah Barnes, PA-C
• Emily Catherine Baron, PA-C
• Bartram Vision Care
• Chase Baruch
• Romanda Basaly Demetrios, O.D.
• Paige Beck, RN
• Casey L Bedard, PA
• Kacey Bedi, MA, BCBA
• Ellie Ann Bedingfield, BEHAVIOR TECHNICIAN
• Behavior Change Solutions LLC

• All providers in St Johns, FL
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.