Organization Active NPI

Brevard Institute for Mental Health Professionals

  • Marriage & Family Therapist
  • Palm Bay, FL
National Provider Identifier
1043146004
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BREVARD INSTITUTE FOR MENTAL HEALTH PROFESSIONALS
Practice address
1639 Gould Ave SW
Palm Bay, FL 32908-8118
Phone
(321) 805-2982
NPI assigned
Jun 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Dr. Carol Euegenie Atkinson, PHDNPI 1558668186
Title
Manager
Phone
(321) 805-2982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1639 Gould Ave SW
Palm Bay, FL 32908-8118

Mailing address

3425 Bayside Lakes Blvd SE Ste 103
Palm Bay, FL 32909-6867
Phone (321) 805-2982

Other identifiers 1

IdentifierTypeStateIssuer
1558668186OtherFLNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1043146004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 BAYSIDE LAKES BLVD SE STE 103",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096867",
            "telephone_number": "321-805-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 GOULD AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329088118",
            "telephone_number": "321-805-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD INSTITUTE FOR MENTAL HEALTH PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "EUEGENIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-805-2982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558668186",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.