Baycare Behavioral Health Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Clearwater, FL
NPI 1306184239 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1306184239
- 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
- 2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726 - Phone
- (727) 726-3785
- NPI assigned
- Jan 28, 2013
- 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 17
-
Debbie L Burton, ARNP
-
Renee Davis, LCSW
-
Taiwo Emiola, NP
-
Carolyn Marie Gaulden, MD, MBA, MSW
-
Praveen K Gootam, M.D.
-
Susan F. Hanna, M.D.
-
Maykel Luna Concepcion, M.D.
-
Meenakshi M Mohan, LCSW
-
Kirti J Pandya, M.D.
-
Ahmed Qureshi, M.D.
-
Hanish Sethi, MD
-
Ana Suarez, MD
-
Newton Agrawal, M.D.
-
Jamie Lorraine Evans, M.D., M.P.H.
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 | FL | Yes |
Addresses
Primary practice location
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 281-9390
Other names
- CountrySide - Primary Care
Other providers in Clearwater, FL
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc..
- Baycare Behavioral Health
- Baycare Behavioral Health Associates LLC
- Baycare Behavioral Health Centers,Inc.
- Baycare Health System
- Baycare Health System
- Baycare Health System Agent for Trustees of Mease Hospital
- Baycare Home Care, Inc
- Baycare Medical Group Inc
All providers in Clearwater, 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.