Circles of Care, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Melbourne, FL
NPI 1215345954 · NPPES record last updated Jul 25, 2014
Key facts
- NPI
- 1215345954
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CIRCLES OF CARE, INC.
- Practice address
- 2225 S Babcock St
Melbourne, FL 32901-5305 - Phone
- (321) 676-1260
- NPI assigned
- Jul 25, 2014
- Organization subpart
- No
Authorized official
- Name
- James B Whitaker
- Title
- President/Ceo
- Phone
- (321) 722-5200
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 1
Practitioners 46
-
Alicia N Carden, APRN
-
Paula Deforest, PHD
-
Carol Jeanette Fairchild, ARNP
-
Stephanie Dean Fish, PMHNP-BC, MSN, ARNP
-
Keishla Lorraine Greene, APRN
-
Laila Hansen, PMHNP
-
Davina Hardin, PSYD
-
Jessica Hunnicutt, APRN
-
Leanne Hunter, LCSW
-
Megan Lynn Jordan, DNP APRN PMHNP-BC
-
Spencer Kerce, APRN
-
Gillian E. Murray, LCSW
-
Diana Rigatuso, APRN
-
Paula Cristina Suarez Santos, PMHNP
-
Roberta Van Dusen, LCSW
-
Averi D'Anna, LMHC
-
Todd Jacob Gates, D.O.
-
Yomaira E. Tovar, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528000379 | FL | Part B Supplier - Clinic/Group Practice | 8729069380 |
Receives reassigned benefits from 43 practitioners 6 other NPIs on this enrollment Practice locations: Melbourne, FL; West Melbourne, FL; Titusville, FL; Rockledge, FL |
National Provider Directory
Locations
424 4th Ave
Indialantic, FL 32903
Phone (407) 676-6680
2225 S Babcock St
Melbourne, FL 32901
Phone (321) 543-2087
245 Magnolia Ave
Merritt Island, FL 32952
Phone (407) 454-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Psychiatric Hospital | 283Q00000X |
Addresses
Primary practice location
2225 S Babcock St
Melbourne, FL 32901-5305
Mailing address
400 Sheridan Rd
Melbourne, FL 32901-3122
Other names
- Prevent
Other providers in Melbourne, FL
- Krzysztof Cieslik
- Joseph A Cimino
- Linette Cintron-Medina
- Circles of Care
- Circles of Care Inc
- Circles of Care, Inc.
- Circles of Care, Inc.
- Circles of Care, Inc.
- Circles of Care, Inc.
- Circles of Care, Inc.
All providers in Melbourne, 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 Jul 25, 2014. 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.