Active NPI
Brevard Institute for Mental Health Professionals
- Marriage & Family Therapist
- Palm Bay, FL
National Provider Identifier
1043146004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carol Euegenie Atkinson, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558668186 | Other | FL | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Palm Bay, FL
- NPI 1558668186
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.