NPIMap

Organization Active NPI

Atlantic Psychiatric Centers, Inc.

  • Psychiatry Physician
  • Palm Bay, FL
National Provider Identifier
1386691418
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ATLANTIC PSYCHIATRIC CENTERS, INC.
Practice address
2123 Franklin Dr NE
Palm Bay, FL 32905-4022
Phone
(321) 724-1614
Fax
(321) 722-3590
NPI assigned
May 26, 2006
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Kathy M Case
Title
Office Manager
Phone
(321) 724-1614

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2123 Franklin Dr NE
Palm Bay, FL 32905-4022

Mailing address

2123 Franklin Dr NE
Palm Bay, FL 32905-4022

Other identifiers 1

IdentifierTypeStateIssuer
116755200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422000616 FL Part B Supplier - Clinic/Group Practice 1557357860 Receives reassigned benefits from 31 practitioners
Practice locations: Palm Bay, FL

National Provider Directory

National Provider Directory

Locations

1351 Bedford Dr
Melbourne, FL 32940
Phone (321) 757-6799

1351 Bedford Dr
Ste 103
Melbourne, FL 32940
Phone (321) 724-1614

3270 Suntree Blvd
Ste 109
Melbourne, FL 32940
Phone (321) 724-1614

2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614

5240 Babcock St NE
Ste 307
Palm Bay, FL 32905
Phone (321) 724-1614

4185 US Highway 1
Rockledge, FL 32955
Phone (321) 638-0027

4185 US Highway 1
Ste 102
Rockledge, FL 32955
Phone (321) 877-4500

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1386691418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 FRANKLIN DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054022",
            "fax_number": "321-722-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 FRANKLIN DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054022",
            "telephone_number": "321-724-1614",
            "fax_number": "321-722-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PSYCHIATRIC CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-724-1614"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116755200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.