Circles of Care, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Rockledge, FL
NPI 1609989490 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1609989490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CIRCLES OF CARE, INC.
- Practice address
- 1770 Cedar St
Rockledge, FL 32955-3133 - Phone
- (321) 890-1500
- Fax
- (321) 634-6260
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Fallon Derosa, MBA
- Title
- Asst. Director of Human Resources
- Phone
- (321) 722-5273
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 11
Practitioners 9
-
Devon Beneby, APRN, PMHNP-BC
-
Todd Jacob Gates, D.O.
-
Leanne Hunter, LCSW
-
Megan Lynn Jordan, DNP APRN PMHNP-BC
-
Andrew Cowles Rucker, D.O.
-
Haya Soya, PSY,D.
-
Jill Wang, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528000379 | FL | Part B Supplier - Clinic/Group Practice | 8729069380 |
Receives reassigned benefits from 43 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Melbourne, FL; West Melbourne, FL; Titusville, FL; Rockledge, FL |
National Provider Directory
- Tax ID family
- Circle of Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Psychologist |
103T00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
1770 Cedar St
Rockledge, FL 32955-3133
Mailing address
400 E Sheridan Rd
Malebourne, FL 32901-3184
Phone (321) 722-5200
Other providers in Rockledge, FL
- George P Christophi
- Florentina Joy Chua
- John Eric Chua
- Nella Ciciulla
- Circles of Care Inc
- Citrus Eye Care, PA
- City Discount Pharmacy
- Kristin Jeannine Ciuro
- Clarke Chiropractic and Wellness, LLC
- Richard C Clarke
All providers in Rockledge, 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 Apr 16, 2024. 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.