Coastal Behavioral Health Care

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

RN9292201 Issued in FL

Legal business name

COASTAL BEHAVIORAL HEALTH CARE

Practice address

6039 Benevento Dr
Sarasota, FL 34238-2883

Phone

(941) 552-6272

NPI assigned

Oct 9, 2015

Organization subpart

No

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

Authorized official

Name

Miss Georgia Ann Oleary, RN

Title

RN

Phone

94133128530

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1558732024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 BENEVENTO DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382883",
            "telephone_number": "941-552-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 BENEVENTO DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382883",
            "telephone_number": "941-552-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEHAVIORAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "OLEARY",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "94133128530",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "RN9292201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163W00000X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COASTAL BEHAVIORAL HEALTH CARE OUT PATIENT",
            "identifier": "163W00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Blando Co
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• Coast Dental P.a. (Coast Dental-Beneva)
• Coastal Behavioral Healthcare, Inc.
• Coastal in Home Senior Care
• Coastal Medical Center LLC
• Coastal Pain Physicians
• Loary Viola Coates, MENTAL HEALTH COUNSE

• Community/Behavioral Health Agency in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.