South County Mental Health Center, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTH COUNTY MENTAL HEALTH CENTER, INC.

Practice address

808 NW Avenue D
Belle Glade, FL 33430-2904

Phone

(561) 708-8396

Fax

(561) 983-8583

NPI assigned

Aug 3, 2021

Organization subpart

Yes

Parent organization

SOUTH COUNTY MENTAL HEALTH CENTER, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Ann Bedner

Title

Billing Supervisor

Phone

(561) 637-1028

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

South County Mental Hea3 organizations share this tax ID, including this one

Part of

South County Mental Hea

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• South County Mental Health Center

  • Pharmacy
  • Delray Beach, FL
  • NPI 1659487965
  NPD tax ID
• South County Mental Health Center, Inc.

  • Case Management Agency
  • Delray Beach, FL
  • NPI 1932875507
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1376217588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16158 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846502",
            "telephone_number": "561-637-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 NW AVENUE D",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334302904",
            "telephone_number": "561-708-8396",
            "fax_number": "561-983-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH COUNTY MENTAL HEALTH CENTER, INC.",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "BEDNER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "561-637-1028"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060276114",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coretha Denise Smith, CERTIFIED ADDICTION
• Erica Michelle Snider-Gomez, DDS
• Soto Chiropractic & Physical Therapy Center
• Soto Chiropractic & Physical Therapy Centers
• Janette Soto, RPH
• South Florida Foot & Ankle Center
• South Florida Physical Medicine and Rehabilitation Center LLC
• South Main Pain, Inc.
• Southern Touch Healthcare LLC
• Brianca Spence, CBHCM-S

• Mental Health Clinic/Center (Including Community Mental Health Center) in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.