Baycare Behavioral Health Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Trinity, FL
NPI 1164790648 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1164790648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BAYCARE BEHAVIORAL HEALTH INC.
- Practice address
- 8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1784 - Phone
- (727) 359-0893
- NPI assigned
- Dec 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lynda Gorken
- Title
- Vice President
- Phone
- (727) 281-9390
Other NPIs on the same Medicare enrollment 17
Practitioners 14
-
Darina Carcerano, NP
-
Adrienne R Eisner, M.D.
-
Mary D Gambrell, LCSW, CAP
-
Jennifer M. Gonatos, MSW, LCSW
-
Monica Maria Seiger, LSW
-
Pavel Sigel, M.D.
-
Richard A Smith, D.O.
-
Tanya Elizabeth Tucker, M.D.
-
Raquel Cristina Herrero, M.D.
-
Rhonda Rene Lampen, M.D.
-
Narlin Smith, APRN FNP-C, PMHNP-BC
-
Julia Brown Trice, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040830000131 | FL | Part B Supplier - Clinic/Group Practice | 4688649122 |
Receives reassigned benefits from 218 practitioners 17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Port Richey, FL; Trinity, FL; Tampa, FL; St Petersburg, FL; Saint Petersburg, FL; Largo, FL; Dade City, FL; Brooksville, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1784
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 281-9390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060297320 | Medicaid | FL |
Other names
- Cerebellum - Primary Care
Other providers in Trinity, FL
- Chad Bates
- Fernando Batista Morales
- Bay Area Anesthesia LLC
- Bay Area Gastroenterology Associates LLC
- Bay Area Primary Care
- Baycare Behavioral Health, Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
- Baycare Medical Group Inc
All providers in Trinity, FL · Mental Health Clinic/Center (Including Community Mental Health Center) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.