Sma Healthcare Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Inverness, FL
NPI 1366014615 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1366014615
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- SMA HEALTHCARE INC
- Practice address
- 107 Dr Martin Luther King Jr Ave
Inverness, FL 34450-4341 - Phone
- (352) 291-5555
- NPI assigned
- Jul 15, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Ivan Cosimi
- Title
- Ceo
- Phone
- (386) 236-1811
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 28
Practitioners 16
-
Jacqueline Angela Aliano, ARNP
-
Ashley Badal, DNP, APRN, PMHNP-BC
-
Yusef Antonio Canaan, M.D.
-
Denise Laverne Daly-Stennis, DNP, PMHNP- BC
-
Christopher M Gaitor, PMHNP
-
Dana Marie Giblock, LCSW
-
Sara Gena Israel, APRN
-
Susan Patricia Lynch, APRN
-
Rebecca Elaine Palmer, PMHNP-BC
-
Sharon J. Robinson, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040423000483 | FL | Part B Supplier - Clinic/Group Practice | 0244226363 |
Receives reassigned benefits from 112 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: St Augustine, FL; Saint Augustine, FL; Palatka, FL; Ocala, FL; New Smyrna Beach, FL; Inverness, FL; Deland, FL; Debary, FL… |
National Provider Directory
- Tax ID family
- Sma Healthcare Inc
Locations
1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
107 Dr Martin Luther King Jr Ave
Inverness, FL 34450-4341
Mailing address
150 Magnolia Ave
Daytona Beach, FL 32114-4304
Phone (386) 236-3215
Other providers in Inverness, FL
- Charles R Sisko
- Todd F Sisto
- Skills for the Job of Living, LLC
- Brian Anthony Slaby
- Stacy Slattery
- Angela E Smith
- Jill Irene Smith
- Smith'S Optical Services, LLC
- William Scott Snyder
- Sammy Hesham Soliman
All providers in Inverness, 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 15, 2021. 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.