Individual provider Active NPI

Joseph Llinas, MD

  • Child & Adolescent Psychiatry Physician
  • Cocoa Beach, FL
National Provider Identifier
1013962158
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME116732 Issued in FL
Practice address
465 Minutemen Cswy Unit 485
Cocoa Beach, FL 32931-2828
Phone
(321) 613-5595
Fax
(321) 613-8477
NPI assigned
May 24, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME116732 FL Primary

Addresses

Primary practice location

465 Minutemen Cswy Unit 485
Cocoa Beach, FL 32931-2828

Mailing address

485 Minutemen Cswy
Cocoa Beach, FL 32931
Phone (321) 613-5595

Other identifiers 2

IdentifierTypeStateIssuer
593VFOtherFLBCBS
009418700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000902 FL Practitioner - Psychiatry 5597902189 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

465 Minutemen Cswy
Unit 485
Cocoa Beach, FL 32931-2828
Phone (321) 613-3382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME116732FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Amistad Residential Treatment Center LLC CurrentSince Apr 24, 2017 Accepting new patients
Palm Point Behavioral Health LLC CurrentSince Dec 27, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2018 Accepting new patients
Atlantic Psychiatric Centers, Inc. CurrentSince Aug 27, 2014 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2018 Accepting new patients
Space Coast Psychiatry, Inc Child & Adolescent Psychiatry CurrentSince Aug 7, 2014 Accepting new patients

Locations

465 Minutemen Cswy
Unit 485
Cocoa Beach, FL 32931
Phone (321) 613-2944

503 N Orlando Ave
Ste 201
Cocoa Beach, FL 32931
Phone (321) 613-5595

455 W Warren Ave
Longwood, FL 32750
Phone (407) 260-0551

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

6601 Central Florida Pkwy
Orlando, FL 32821
Phone (407) 370-0111

2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614

2355 Truman Scarborough Way
Titusville, FL 32796
Phone (321) 603-6550

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1013962158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 MINUTEMEN CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "32931",
            "telephone_number": "321-613-5595",
            "fax_number": "321-613-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MINUTEMEN CSWY UNIT 485",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312828",
            "telephone_number": "321-613-5595",
            "fax_number": "321-613-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLINAS",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME116732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "593VF",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009418700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.