Apalachee Center Inc
Organization Active NPI Community/Behavioral Health Agency · Bristol, FL
NPI 1508962796 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1508962796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- APALACHEE CENTER INC
- Practice address
- 13888 NW County Road 12
Bristol, FL 32321-3270 - Phone
- (850) 643-2232
- Fax
- (850) 643-5657
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
Authorized official
- Name
- April D Landrum
- Title
- Director of Patient Financial Srvcs
- Phone
- (850) 523-2243
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 20
Practitioners 23
-
Jaime M Adleta, APRN.FNP
-
Nicole Bramwell, APRN
-
Stephanie Brunson, LMHC
-
Michael Nicholas Cassidy, LCSW
-
Kristi Brooke Conoly, APRN
-
Tanya Leigh Davis, LCSW
-
Jessica K Dedge, APRN
-
Jerri Stone Edwards, APRN, FNP, PMHNP
-
Stuart Gamble, MSN, APRN, PMHNP-BC
-
Srikant Reddy Kothur, MS, LMHC
-
Generoso Masangkay, M.D.
-
Sabrina Renee Miller Cofield, 171M00000X
-
Jasmine E Queen, M.S.
-
Sarah Ora Rawlings, LCSW
-
Mark Daniel Reeves, PH.D.
-
Evelyn R. Smith, ARNP
-
Jill A. Brabant, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001882 | FL | Part B Supplier - Clinic/Group Practice | 3577556604 |
Receives reassigned benefits from 43 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Quincy, FL; Tallahassee, FL; Monticello, FL; Perry, FL; Apalachicola, FL; Bristol, FL; Crawfordville, FL; Madison, FL |
National Provider Directory
- Tax ID family
- Apalachee Ctr for Human
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
13888 NW County Road 12
Bristol, FL 32321-3270
Mailing address
2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone (850) 523-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060298113 | Medicaid | FL |
Other providers in Bristol, FL
- Tracey Marie Aittama
- Christopher Bernard Anderson
- Katie Leigh Askew
- Lindsay Marie Bailey
- Damien Bentley
- Sydney Paige Berse
- Deidra L Bess
All providers in Bristol, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 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.